Evaluation of Safety and Tolerability of Long-term TEV-50717 (Deutetrabenazine) for Treatment of Tourette Syndrome in Children and Adolescents (ARTISTS)
Primary Purpose
Tourette Syndrome
Status
Terminated
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
TEV-50717
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Tourette Syndrome focused on measuring adolescents, children
Eligibility Criteria
Inclusion Criteria:
- Patient is younger than 18 years of age on day 1
- Patient weighs at least 44 pounds (20 kg)
- The patient's active tics are causing distress or impairment
- Patient is able to swallow study medication whole
- Patient is in good general health
- Women/girls of childbearing potential whose male partners are of childbearing potential must use contraception for the duration of the study -- Additional criteria apply, please contact the investigator for more information
Exclusion Criteria:
- Patient is 18 years of age or older.
- Patient has a neurologic disorder other than TS that could obscure the evaluation of tics.
- The patient's predominant movement disorder is stereotypy (coordinated movements that repeat continually and identically) associated with autism spectrum disorder.
- Patient has a confirmed diagnosis of bipolar disorder, schizophrenia, or another psychotic disorder.
- Patient has clinically significant depression at screening or day 1. Note: Patients receiving antidepressant therapy may be enrolled if on a stable dose for at least 6 weeks before screening.
- Patient has a history of suicidal intent or related behaviors within 2 years of screening
- Patient has a history of a previous actual, interrupted, or aborted suicide attempt.
- Patient has a first-degree relative who has completed suicide.
- Patient has clinically significant obsessive-compulsive disorder (OCD) on day 1 that, in the opinion of the investigator, is the primary cause of impairment.
- Patient has received comprehensive behavioral intervention for tics for TS or cognitive behavioral therapy for OCD within 4 weeks of screening.
- Patient has received treatment with deep brain stimulation, transmagnetic stimulation, or transcranial direct current stimulation for reduction of tics within 4 weeks of the screening visit.
- Patient has an unstable or serious medical illness at screening or day 1
- Patients with a history of torsade de pointes, congenital long QT syndrome, bradyarrhythmias, or uncompensated heart failure.
- Patient has received a monoamine oxidase inhibitor within 14 days of the day 1 visit.
- Patient has participated in an investigational drug or device study (with the exception of Study SD-809-C-17, Study TV50717-CNS-30046, or Study TV50717-CNS-30060) and received IMP/intervention within 30 days or 5 drug half-lives of day 1, whichever is longer.
- The patient is a pregnant or lactating female, or plans to become pregnant during the study.
- Patient has a history of, or acknowledges, alcohol-related disorder in the previous 12 months -- Additional criteria apply, please contact the investigator for more information
Sites / Locations
- Teva Investigational Site 046-0104
- Teva Investigational Site 046-0107
- Teva Investigational Site 046-0126
- Teva Investigational Site 046-0101
- Teva Investigational Site 046-0111
- Teva Investigational Site 060-0160
- Teva Investigational Site 060-0166
- Teva Investigational Site 060-0161
- Teva Investigational Site 046-0115
- Teva Investigational Site 060-0153
- Teva Investigational Site 046-0114
- Teva Investigational Site 046-0116
- Teva Investigational Site 060-0155
- Teva Investigational Site 060-0164
- Teva Investigational Site 046-0133
- Teva Investigational Site 046-0128
- Teva Investigational Site 060-0170
- Teva Investigational Site 046-0110
- Teva Investigational Site 046-0134
- Teva Investigational Site 046-0109
- Teva Investigational Site 046-0124
- Teva Investigational Site 060-0154
- Teva Investigational Site 046-0102
- Teva Investigational Site 046-0106
- Teva Investigational Site 060-0169
- Teva Investigational Site 060-0156
- Teva Investigational Site 046-0113
- Teva Investigational Site 060-0163
- Teva Investigational Site 046-0108
- Teva Investigational Site 046-0120
- Teva Investigational Site 046-0105
- Teva Investigational Site 046-0118
- Teva Investigational Site 060-0162
- Teva Investigational Site 060-1407
- Teva Investigational Site 060-1402
- Teva Investigational Site 060-1403
- Teva Investigational Site 060-1404
- Teva Investigational Site 060-1802
- Teva Investigational Site 046-0201
- Teva Investigational Site 046-0202
- Teva Investigational Site 060-1503
- Teva Investigational Site 060-1504
- Teva Investigational Site 046-0302
- Teva Investigational Site 046-0301
- Teva Investigational Site 060-0901
- Teva Investigational Site 060-0902
- Teva Investigational Site 060-1005
- Teva Investigational Site 060-1001
- Teva Investigational Site 060-1003
- Teva Investigational Site 060-1901
- Teva Investigational Site 060-1903
- Teva Investigational Site 060-1902
- Teva Investigational Site 060-1601
- Teva Investigational Site 060-1603
- Teva Investigational Site 060-1602
- Teva Investigational Site 060-1604
- Teva Investigational Site 060-1104
- Teva Investigational Site 060-1101
- Teva Investigational Site 060-1105
- Teva Investigational Site 060-1102
- Teva Investigational Site 060-1103
- Teva Investigational Site 046-0704
- Teva Investigational Site 046-0703
- Teva Investigational Site 046-1702
- Teva Investigational Site 046-1703
- Teva Investigational Site 046-1701
- Teva Investigational Site 046-0605
- Teva Investigational Site 046-0602
- Teva Investigational Site 046-0603
- Teva Investigational Site 046-0601
- Teva Investigational Site 060-2003
- Teva Investigational Site 060-2001
- Teva Investigational Site 060-2002
- Teva Investigational Site 060-2007
- Teva Investigational Site 060-2005
- Teva Investigational Site 060-2006
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
TEV-50717- Part A
TEV-50717- Part B RW
Placebo- Part B RW
Arm Description
All patients will undergo TEV-50717 dose titration in this study. Patients will receive 6 mg of TEV-50717 with food on the evening of day 1. The titration scheme and maximum dose will be determined by body weight and cytochrome P450 2D6 (CYP2D6) impairment status from the parent study.
TEV-50717 is administered during Part B Randomized Drug Withdrawal (RW) 2-week period.
Placebo is administered during Part B Randomized Drug Withdrawal (RW) 2-week period only.
Outcomes
Primary Outcome Measures
Number of Participants Reporting Treatment Emergent Adverse Events (AEs) for Parts A & B Combined
Adverse events were analyzed for all participants in Parts A & B combined as one group for this outcome measure. An AE 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. Incudes clinically significant changes such as changes in vital signs or lab values. Relationship of AE to treatment was determined by the Investigator. Serious AEs 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 participant and required medical intervention to prevent the previously listed serious outcomes. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants Reporting Treatment Emergent Adverse Events (AEs) in Part B (Period II)
Adverse events were analyzed for Part B for this outcome measure. An AE 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. Incudes clinically significant changes such as changes in vital signs or lab values. Relationship of AE to treatment was determined by the Investigator. Serious AEs 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 participant and required medical intervention to prevent the previously listed serious outcomes. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Change From Baseline in the Children's Depression Inventory Second Edition (CDI-2; Parent Version) Total Score
Parents were asked to rate their child's behaviors in past 2 weeks on a 4-point Likert scale from "not at all" to "much or most of the time." It contains 2 subscales (emotional problems and functional problem). Total score: sum of 2 subscales, ranging from 0 to 51, with higher score indicating more depression-related behaviors.
Change From Baseline in the Children's Depression Inventory Second Edition (CDI-2; Self-reported Version) Total Score
CDI-2 self-report: 28-item questionnaire assessing depressive symptoms in children 7 to 17 years of age with basic reading and comprehension skills. Children were asked to choose 1 of 3 statements that most closely aligns with their feelings in past 2 weeks. It contains 6 subscales (emotional problem, negative mood/physical symptoms, negative self-esteem, functional problems, ineffectiveness, interpersonal problems). Total score: sum of all subscales scores, ranging from 0 to 56, with higher score indicating greater depression severity.CDI-2 parent: 17-item questionnaire administered to parents to assess depression-related behaviors observed in their children.
Change From Randomized Withdrawal Baseline (Week 28) in the Children's Depression Inventory Second Edition (CDI-2; Parent Version) Total Score at Week 30
Parents were asked to rate their child's behaviors in past 2 weeks on a 4-point Likert scale from "not at all" to "much or most of the time." It contains 2 subscales (emotional problems and functional problem). Total score: sum of 2 subscales, ranging from 0 to 51, with higher score indicating more depression-related behaviors.
Change From Randomized Withdrawal Baseline (Week 28) in the Children's Depression Inventory Second Edition (CDI-2; Self-reported Version) Total Score at Week 30
CDI-2 self-report: 28-item questionnaire assessing depressive symptoms in children 7 to 17 years of age with basic reading and comprehension skills. Children were asked to choose 1 of 3 statements that most closely aligns with their feelings in past 2 weeks. It contains 6 subscales (emotional problem, negative mood/physical symptoms, negative self-esteem, functional problems, ineffectiveness, interpersonal problems). Total score: sum of all subscales scores, ranging from 0 to 56, with higher score indicating greater depression severity.CDI-2 parent: 17-item questionnaire administered to parents to assess depression-related behaviors observed in their children.
Number of Participants Reporting Any Suicidal Ideation or Suicidal Behavior According to the Columbia Suicide Severity Rating Scale (C-SSRS)
C-SSRS included responses for Suicidal Ideation or Suicidal Behavior in following 10 categories: 1 = Wish to be dead; 2 = Non-specific active suicidal thoughts; 3 = Active suicidal ideation with any methods (not plan) without intent to act; 4 = Active suicidal ideation with some intent to act, without specific plan; 5 = Active suicidal ideation with specific plan and intent; 6 = Preparatory acts or behavior; 7 = Aborted attempt; 8 = Interrupted attempt; 9 = Non-fatal suicide attempt; and 10 = Completed suicide. Number of participants with any suicidal ideation or suicidal behavior are reported. Any Suicidal ideation or Suicidal Behavior events reported as TEAEs along with all other reported TEAEs are included in the AE module.
Number of Participants Reporting Any Suicidal Ideation or Suicidal Behavior According to the Columbia Suicide Severity Rating Scale (C-SSRS) at Randomized Withdrawal Baseline Visit (Week 28) and Week 30
C-SSRS included responses for Suicidal Ideation or Suicidal Behavior in following 10 categories: 1 = Wish to be dead; 2 = Non-specific active suicidal thoughts; 3 = Active suicidal ideation with any methods (not plan) without intent to act; 4 = Active suicidal ideation with some intent to act, without specific plan; 5 = Active suicidal ideation with specific plan and intent; 6 = Preparatory acts or behavior; 7 = Aborted attempt; 8 = Interrupted attempt; 9 = Non-fatal suicide attempt; and 10 = Completed suicide. Number of participants with any suicidal ideation or suicidal behavior are reported. Any Suicidal ideation or Suicidal Behavior events reported as TEAEs along with all other reported TEAEs are included in the AE module.
Secondary Outcome Measures
Change From Baseline in the Yale Global Tic Severity Scale (YGTSS) Total Tic Score (TTS)
YGTSS rating scale is a semi-structured clinician rating instrument that provides an evaluation of the number, frequency, intensity, complexity, and interference of motor and phonic tics. YGTSS is composed of 11 items: 5 items for motor tic severity, 5 items for vocal tic severity, and 1 item for impairment. Each item for motor tic severity and vocal is rated on a 6-point scale (0 for none to 5 to severe). MTSS is the sum of the 5 items for motor tic severity and VTSS is the sum of the 5 items for vocal tic severity. TTS is the sum of MTSS and VTSS, ranges from 0 (none/absent) to 50 (severe). Higher scores indicate greater severity/worse outcome. Baseline is defined as the last measurement on or prior to the first dose of the open-label study medication.
Change From Baseline in the Tourette Syndrome-Clinical Global Impression (TS-CGI) Score
The TS-CGI scale is a 7-point Likert scale that allows the clinician to use all available information to assess the impact of tics on the participant's quality of life. The TS-CGI is rated as follows: 1 (normal or no tics at all), 2 (borderline), 3 (mild), 4 (moderate), 5 (marked), 6 (severe), and 7 (extreme, incapacitating tics). Lower scores indicate better quality of life. Baseline is defined as the last measurement on or prior to the first dose of the open-label study medication.
Change From Baseline in the Tourette Syndrome-Patient Global Impression of Impact (TS-PGII) Score
The TS-PGII is a single-item questionnaire that asks the participant to assess the degree of impact due to current tics (How much do your current tics disrupt things in your life?). The TS-PGII uses a 5-point scale, ranging from not at all (1) to very much (5), to assess overall response to therapy. Baseline is defined as the last measurement on or prior to the first dose of the open-label study medication.
Change From Baseline in the Child and Adolescent Gilles de la Tourette Syndrome - Quality of Life (C&A-GTS-QOL) Activities of Daily Living (ADL) Subscale Score
C&A-GTS-QOL is a 27-item questionnaire that asks participant to assess the extent to which their quality of life is impacted by their symptoms. C&A-GTS-QOL contains 6 subscales (cognitive, coprophenomena, psychological, physical, obsessive-compulsive, and ADL) and uses a 5-point Likert scale ranging from no problem to extreme problem. Following 3 questions from 27-item questionnaire were assessed in ADL C&A-GTS-QOL subscale: Question 2 (Had difficulty with school or sport activities?), 24 (Felt you needed more help or support from other people?), and 26 (Had difficulty going out with other people?). Total score of ADL subscale ranged from 0 (no problem) to 12 (extreme problem). Lower score indicated better quality of life. Baseline is defined as the last measurement on or prior to the first dose of the open-label study medication.
Change From Randomized Withdrawal Baseline (Week 28) in the Yale Global Tic Severity Scale (YGTSS) Total Tic Score (TTS) to Week 30
YGTSS rating scale is a semi-structured clinician rating instrument that provides an evaluation of the number, frequency, intensity, complexity, and interference of motor and phonic tics. YGTSS is composed of 11 items: 5 items for motor tic severity, 5 items for vocal tic severity, and 1 item for impairment. Each item for motor tic severity and vocal is rated on a 6-point scale (0 for none to 5 to severe). MTSS is the sum of the 5 items for motor tic severity and VTSS is the sum of the 5 items for vocal tic severity. TTS is the sum of MTSS and VTSS, ranges from 0 (none/absent) to 50 (severe). Higher scores indicate greater severity/worse outcome. The model is an ANCOVA model that includes fixed effects for treatment group. The randomized withdrawal baseline TTS and age group at baseline (2 levels: 6-11 years, 12-18 years) are included as covariates.
Full Information
NCT ID
NCT03567291
First Posted
June 12, 2018
Last Updated
November 5, 2021
Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.
Collaborators
Nuvelution TS Pharma, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT03567291
Brief Title
Evaluation of Safety and Tolerability of Long-term TEV-50717 (Deutetrabenazine) for Treatment of Tourette Syndrome in Children and Adolescents
Acronym
ARTISTS
Official Title
An Open-Label, Long-Term Safety Study Including a Double-Blind, Placebo-Controlled, Randomized Withdrawal Period of TEV-50717 (Deutetrabenazine) for the Treatment of Tourette Syndrome in Children and Adolescents
Study Type
Interventional
2. Study Status
Record Verification Date
November 2021
Overall Recruitment Status
Terminated
Why Stopped
The parent trials did not meet the primary endpoints of reduction in motor and phonic tics.
Study Start Date
May 25, 2018 (Actual)
Primary Completion Date
May 15, 2020 (Actual)
Study Completion Date
May 15, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.
Collaborators
Nuvelution TS Pharma, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is an otherwise open-label, single-arm study that includes a 2-week, double-blind, placebo controlled, randomized drug withdrawal period followed by a 3 week blinded maintenance or re-titration, and then a maintenance period. This study aims to evaluate the safety and efficacy of TEV-50717 tablets in patients with tics associated with TS who have previously completed participation in any of the parent studies.
Detailed Description
This is an otherwise open-label, single-arm study (Part A) that includes a 2-week, double-blind, placebo controlled, randomized drug withdrawal period (Part B) followed by a 3 week blinded maintenance or re-titration (Part A resumed), and then a maintenance period. This study aims to evaluate the safety and efficacy of TEV-50717 tablets in patients with tics associated with TS who have previously completed participation in any of the parent studies (SD-809-C-17 [Phase 1b], TV50717-CNS 30046 [Phase 2/3], or TV50717-CNS 30060 [Phase 3]).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tourette Syndrome
Keywords
adolescents, children
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
228 (Actual)
8. Arms, Groups, and Interventions
Arm Title
TEV-50717- Part A
Arm Type
Experimental
Arm Description
All patients will undergo TEV-50717 dose titration in this study. Patients will receive 6 mg of TEV-50717 with food on the evening of day 1. The titration scheme and maximum dose will be determined by body weight and cytochrome P450 2D6 (CYP2D6) impairment status from the parent study.
Arm Title
TEV-50717- Part B RW
Arm Type
Experimental
Arm Description
TEV-50717 is administered during Part B Randomized Drug Withdrawal (RW) 2-week period.
Arm Title
Placebo- Part B RW
Arm Type
Placebo Comparator
Arm Description
Placebo is administered during Part B Randomized Drug Withdrawal (RW) 2-week period only.
Intervention Type
Drug
Intervention Name(s)
TEV-50717
Other Intervention Name(s)
deutetrabenazine, SD-809
Intervention Description
6, 9, and 12 mg oral tablets
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo comparator
Primary Outcome Measure Information:
Title
Number of Participants Reporting Treatment Emergent Adverse Events (AEs) for Parts A & B Combined
Description
Adverse events were analyzed for all participants in Parts A & B combined as one group for this outcome measure. An AE 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. Incudes clinically significant changes such as changes in vital signs or lab values. Relationship of AE to treatment was determined by the Investigator. Serious AEs 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 participant and required medical intervention to prevent the previously listed serious outcomes. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Time Frame
Day 1 to Week 55
Title
Number of Participants Reporting Treatment Emergent Adverse Events (AEs) in Part B (Period II)
Description
Adverse events were analyzed for Part B for this outcome measure. An AE 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. Incudes clinically significant changes such as changes in vital signs or lab values. Relationship of AE to treatment was determined by the Investigator. Serious AEs 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 participant and required medical intervention to prevent the previously listed serious outcomes. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Time Frame
Weeks 28 to 30
Title
Change From Baseline in the Children's Depression Inventory Second Edition (CDI-2; Parent Version) Total Score
Description
Parents were asked to rate their child's behaviors in past 2 weeks on a 4-point Likert scale from "not at all" to "much or most of the time." It contains 2 subscales (emotional problems and functional problem). Total score: sum of 2 subscales, ranging from 0 to 51, with higher score indicating more depression-related behaviors.
Time Frame
Baseline, Weeks 2, 4, 8, 15, 28, 34, 41, 54, 55
Title
Change From Baseline in the Children's Depression Inventory Second Edition (CDI-2; Self-reported Version) Total Score
Description
CDI-2 self-report: 28-item questionnaire assessing depressive symptoms in children 7 to 17 years of age with basic reading and comprehension skills. Children were asked to choose 1 of 3 statements that most closely aligns with their feelings in past 2 weeks. It contains 6 subscales (emotional problem, negative mood/physical symptoms, negative self-esteem, functional problems, ineffectiveness, interpersonal problems). Total score: sum of all subscales scores, ranging from 0 to 56, with higher score indicating greater depression severity.CDI-2 parent: 17-item questionnaire administered to parents to assess depression-related behaviors observed in their children.
Time Frame
Baseline, Weeks 2, 4, 8, 15, 28, 34, 41, 54, 55
Title
Change From Randomized Withdrawal Baseline (Week 28) in the Children's Depression Inventory Second Edition (CDI-2; Parent Version) Total Score at Week 30
Description
Parents were asked to rate their child's behaviors in past 2 weeks on a 4-point Likert scale from "not at all" to "much or most of the time." It contains 2 subscales (emotional problems and functional problem). Total score: sum of 2 subscales, ranging from 0 to 51, with higher score indicating more depression-related behaviors.
Time Frame
Week 28, Week 30
Title
Change From Randomized Withdrawal Baseline (Week 28) in the Children's Depression Inventory Second Edition (CDI-2; Self-reported Version) Total Score at Week 30
Description
CDI-2 self-report: 28-item questionnaire assessing depressive symptoms in children 7 to 17 years of age with basic reading and comprehension skills. Children were asked to choose 1 of 3 statements that most closely aligns with their feelings in past 2 weeks. It contains 6 subscales (emotional problem, negative mood/physical symptoms, negative self-esteem, functional problems, ineffectiveness, interpersonal problems). Total score: sum of all subscales scores, ranging from 0 to 56, with higher score indicating greater depression severity.CDI-2 parent: 17-item questionnaire administered to parents to assess depression-related behaviors observed in their children.
Time Frame
Week 28, Week 30
Title
Number of Participants Reporting Any Suicidal Ideation or Suicidal Behavior According to the Columbia Suicide Severity Rating Scale (C-SSRS)
Description
C-SSRS included responses for Suicidal Ideation or Suicidal Behavior in following 10 categories: 1 = Wish to be dead; 2 = Non-specific active suicidal thoughts; 3 = Active suicidal ideation with any methods (not plan) without intent to act; 4 = Active suicidal ideation with some intent to act, without specific plan; 5 = Active suicidal ideation with specific plan and intent; 6 = Preparatory acts or behavior; 7 = Aborted attempt; 8 = Interrupted attempt; 9 = Non-fatal suicide attempt; and 10 = Completed suicide. Number of participants with any suicidal ideation or suicidal behavior are reported. Any Suicidal ideation or Suicidal Behavior events reported as TEAEs along with all other reported TEAEs are included in the AE module.
Time Frame
Baseline, Weeks 2, 4, 8, 15, 28, 34, 41, 54, 55
Title
Number of Participants Reporting Any Suicidal Ideation or Suicidal Behavior According to the Columbia Suicide Severity Rating Scale (C-SSRS) at Randomized Withdrawal Baseline Visit (Week 28) and Week 30
Description
C-SSRS included responses for Suicidal Ideation or Suicidal Behavior in following 10 categories: 1 = Wish to be dead; 2 = Non-specific active suicidal thoughts; 3 = Active suicidal ideation with any methods (not plan) without intent to act; 4 = Active suicidal ideation with some intent to act, without specific plan; 5 = Active suicidal ideation with specific plan and intent; 6 = Preparatory acts or behavior; 7 = Aborted attempt; 8 = Interrupted attempt; 9 = Non-fatal suicide attempt; and 10 = Completed suicide. Number of participants with any suicidal ideation or suicidal behavior are reported. Any Suicidal ideation or Suicidal Behavior events reported as TEAEs along with all other reported TEAEs are included in the AE module.
Time Frame
Week 28, Week 30
Secondary Outcome Measure Information:
Title
Change From Baseline in the Yale Global Tic Severity Scale (YGTSS) Total Tic Score (TTS)
Description
YGTSS rating scale is a semi-structured clinician rating instrument that provides an evaluation of the number, frequency, intensity, complexity, and interference of motor and phonic tics. YGTSS is composed of 11 items: 5 items for motor tic severity, 5 items for vocal tic severity, and 1 item for impairment. Each item for motor tic severity and vocal is rated on a 6-point scale (0 for none to 5 to severe). MTSS is the sum of the 5 items for motor tic severity and VTSS is the sum of the 5 items for vocal tic severity. TTS is the sum of MTSS and VTSS, ranges from 0 (none/absent) to 50 (severe). Higher scores indicate greater severity/worse outcome. Baseline is defined as the last measurement on or prior to the first dose of the open-label study medication.
Time Frame
Baseline, Weeks 8, 15, 28, 41, 54, and 55
Title
Change From Baseline in the Tourette Syndrome-Clinical Global Impression (TS-CGI) Score
Description
The TS-CGI scale is a 7-point Likert scale that allows the clinician to use all available information to assess the impact of tics on the participant's quality of life. The TS-CGI is rated as follows: 1 (normal or no tics at all), 2 (borderline), 3 (mild), 4 (moderate), 5 (marked), 6 (severe), and 7 (extreme, incapacitating tics). Lower scores indicate better quality of life. Baseline is defined as the last measurement on or prior to the first dose of the open-label study medication.
Time Frame
Baseline, Weeks 8, 15, 28, 41, 54, and 55
Title
Change From Baseline in the Tourette Syndrome-Patient Global Impression of Impact (TS-PGII) Score
Description
The TS-PGII is a single-item questionnaire that asks the participant to assess the degree of impact due to current tics (How much do your current tics disrupt things in your life?). The TS-PGII uses a 5-point scale, ranging from not at all (1) to very much (5), to assess overall response to therapy. Baseline is defined as the last measurement on or prior to the first dose of the open-label study medication.
Time Frame
Baseline, Weeks 8, 15, 28, 41, 54, and 55
Title
Change From Baseline in the Child and Adolescent Gilles de la Tourette Syndrome - Quality of Life (C&A-GTS-QOL) Activities of Daily Living (ADL) Subscale Score
Description
C&A-GTS-QOL is a 27-item questionnaire that asks participant to assess the extent to which their quality of life is impacted by their symptoms. C&A-GTS-QOL contains 6 subscales (cognitive, coprophenomena, psychological, physical, obsessive-compulsive, and ADL) and uses a 5-point Likert scale ranging from no problem to extreme problem. Following 3 questions from 27-item questionnaire were assessed in ADL C&A-GTS-QOL subscale: Question 2 (Had difficulty with school or sport activities?), 24 (Felt you needed more help or support from other people?), and 26 (Had difficulty going out with other people?). Total score of ADL subscale ranged from 0 (no problem) to 12 (extreme problem). Lower score indicated better quality of life. Baseline is defined as the last measurement on or prior to the first dose of the open-label study medication.
Time Frame
Baseline, Weeks 6, 28, 34, 54
Title
Change From Randomized Withdrawal Baseline (Week 28) in the Yale Global Tic Severity Scale (YGTSS) Total Tic Score (TTS) to Week 30
Description
YGTSS rating scale is a semi-structured clinician rating instrument that provides an evaluation of the number, frequency, intensity, complexity, and interference of motor and phonic tics. YGTSS is composed of 11 items: 5 items for motor tic severity, 5 items for vocal tic severity, and 1 item for impairment. Each item for motor tic severity and vocal is rated on a 6-point scale (0 for none to 5 to severe). MTSS is the sum of the 5 items for motor tic severity and VTSS is the sum of the 5 items for vocal tic severity. TTS is the sum of MTSS and VTSS, ranges from 0 (none/absent) to 50 (severe). Higher scores indicate greater severity/worse outcome. The model is an ANCOVA model that includes fixed effects for treatment group. The randomized withdrawal baseline TTS and age group at baseline (2 levels: 6-11 years, 12-18 years) are included as covariates.
Time Frame
Week 28, Week 30
10. Eligibility
Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patient is younger than 18 years of age on day 1
Patient weighs at least 44 pounds (20 kg)
The patient's active tics are causing distress or impairment
Patient is able to swallow study medication whole
Patient is in good general health
Women/girls of childbearing potential whose male partners are of childbearing potential must use contraception for the duration of the study -- Additional criteria apply, please contact the investigator for more information
Exclusion Criteria:
Patient is 18 years of age or older.
Patient has a neurologic disorder other than TS that could obscure the evaluation of tics.
The patient's predominant movement disorder is stereotypy (coordinated movements that repeat continually and identically) associated with autism spectrum disorder.
Patient has a confirmed diagnosis of bipolar disorder, schizophrenia, or another psychotic disorder.
Patient has clinically significant depression at screening or day 1. Note: Patients receiving antidepressant therapy may be enrolled if on a stable dose for at least 6 weeks before screening.
Patient has a history of suicidal intent or related behaviors within 2 years of screening
Patient has a history of a previous actual, interrupted, or aborted suicide attempt.
Patient has a first-degree relative who has completed suicide.
Patient has clinically significant obsessive-compulsive disorder (OCD) on day 1 that, in the opinion of the investigator, is the primary cause of impairment.
Patient has received comprehensive behavioral intervention for tics for TS or cognitive behavioral therapy for OCD within 4 weeks of screening.
Patient has received treatment with deep brain stimulation, transmagnetic stimulation, or transcranial direct current stimulation for reduction of tics within 4 weeks of the screening visit.
Patient has an unstable or serious medical illness at screening or day 1
Patients with a history of torsade de pointes, congenital long QT syndrome, bradyarrhythmias, or uncompensated heart failure.
Patient has received a monoamine oxidase inhibitor within 14 days of the day 1 visit.
Patient has participated in an investigational drug or device study (with the exception of Study SD-809-C-17, Study TV50717-CNS-30046, or Study TV50717-CNS-30060) and received IMP/intervention within 30 days or 5 drug half-lives of day 1, whichever is longer.
The patient is a pregnant or lactating female, or plans to become pregnant during the study.
Patient has a history of, or acknowledges, alcohol-related disorder in the previous 12 months -- Additional criteria apply, please contact the investigator for more information
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Teva Medical Expert, MD
Organizational Affiliation
Teva Branded Pharmaceutical Products R&D, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Teva Investigational Site 046-0104
City
Dothan
State/Province
Alabama
ZIP/Postal Code
36303
Country
United States
Facility Name
Teva Investigational Site 046-0107
City
Rogers
State/Province
Arkansas
ZIP/Postal Code
72758
Country
United States
Facility Name
Teva Investigational Site 046-0126
City
Anaheim
State/Province
California
ZIP/Postal Code
92805
Country
United States
Facility Name
Teva Investigational Site 046-0101
City
Sacramento
State/Province
California
ZIP/Postal Code
95815
Country
United States
Facility Name
Teva Investigational Site 046-0111
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
Teva Investigational Site 060-0160
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32608
Country
United States
Facility Name
Teva Investigational Site 060-0166
City
Gulf Breeze
State/Province
Florida
ZIP/Postal Code
32561-4458
Country
United States
Facility Name
Teva Investigational Site 060-0161
City
Miami
State/Province
Florida
ZIP/Postal Code
33136-2107
Country
United States
Facility Name
Teva Investigational Site 046-0115
City
Orlando
State/Province
Florida
ZIP/Postal Code
32803
Country
United States
Facility Name
Teva Investigational Site 060-0153
City
Orlando
State/Province
Florida
ZIP/Postal Code
32819
Country
United States
Facility Name
Teva Investigational Site 046-0114
City
Saint Petersburg
State/Province
Florida
ZIP/Postal Code
33701
Country
United States
Facility Name
Teva Investigational Site 046-0116
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30331
Country
United States
Facility Name
Teva Investigational Site 060-0155
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Teva Investigational Site 060-0164
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60634
Country
United States
Facility Name
Teva Investigational Site 046-0133
City
Naperville
State/Province
Illinois
ZIP/Postal Code
60563
Country
United States
Facility Name
Teva Investigational Site 046-0128
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Teva Investigational Site 060-0170
City
Bridgeton
State/Province
Missouri
ZIP/Postal Code
63044
Country
United States
Facility Name
Teva Investigational Site 046-0110
City
Saint Charles
State/Province
Missouri
ZIP/Postal Code
63304
Country
United States
Facility Name
Teva Investigational Site 046-0134
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68526-9467
Country
United States
Facility Name
Teva Investigational Site 046-0109
City
Voorhees
State/Province
New Jersey
ZIP/Postal Code
08043
Country
United States
Facility Name
Teva Investigational Site 046-0124
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Teva Investigational Site 060-0154
City
New York
State/Province
New York
ZIP/Postal Code
10036
Country
United States
Facility Name
Teva Investigational Site 046-0102
City
Rochester
State/Province
New York
ZIP/Postal Code
14618
Country
United States
Facility Name
Teva Investigational Site 046-0106
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73116
Country
United States
Facility Name
Teva Investigational Site 060-0169
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29414-5834
Country
United States
Facility Name
Teva Investigational Site 060-0156
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232-2551
Country
United States
Facility Name
Teva Investigational Site 046-0113
City
Dallas
State/Province
Texas
ZIP/Postal Code
75243
Country
United States
Facility Name
Teva Investigational Site 060-0163
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
Facility Name
Teva Investigational Site 046-0108
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Teva Investigational Site 046-0120
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78249
Country
United States
Facility Name
Teva Investigational Site 046-0105
City
Orem
State/Province
Utah
ZIP/Postal Code
84058
Country
United States
Facility Name
Teva Investigational Site 046-0118
City
Petersburg
State/Province
Virginia
ZIP/Postal Code
23805
Country
United States
Facility Name
Teva Investigational Site 060-0162
City
Everett
State/Province
Washington
ZIP/Postal Code
98201-4077
Country
United States
Facility Name
Teva Investigational Site 060-1407
City
Buenos Aires
ZIP/Postal Code
C1023AAB
Country
Argentina
Facility Name
Teva Investigational Site 060-1402
City
Buenos Aires
ZIP/Postal Code
C1425AHQ
Country
Argentina
Facility Name
Teva Investigational Site 060-1403
City
La Plata
ZIP/Postal Code
1900
Country
Argentina
Facility Name
Teva Investigational Site 060-1404
City
Mendoza
ZIP/Postal Code
5500
Country
Argentina
Facility Name
Teva Investigational Site 060-1802
City
Liverpool
ZIP/Postal Code
2170
Country
Australia
Facility Name
Teva Investigational Site 046-0201
City
Ajax
State/Province
Ontario
ZIP/Postal Code
L1Z0M1
Country
Canada
Facility Name
Teva Investigational Site 046-0202
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K2G 1W2
Country
Canada
Facility Name
Teva Investigational Site 060-1503
City
Bello
ZIP/Postal Code
051050
Country
Colombia
Facility Name
Teva Investigational Site 060-1504
City
Pereira
ZIP/Postal Code
660003
Country
Colombia
Facility Name
Teva Investigational Site 046-0302
City
Herlev
ZIP/Postal Code
2730
Country
Denmark
Facility Name
Teva Investigational Site 046-0301
City
Odense
ZIP/Postal Code
5000
Country
Denmark
Facility Name
Teva Investigational Site 060-0901
City
Budapest
ZIP/Postal Code
1021
Country
Hungary
Facility Name
Teva Investigational Site 060-0902
City
Szeged
ZIP/Postal Code
6725
Country
Hungary
Facility Name
Teva Investigational Site 060-1005
City
Cagliari
ZIP/Postal Code
09121
Country
Italy
Facility Name
Teva Investigational Site 060-1001
City
Catania
ZIP/Postal Code
95123
Country
Italy
Facility Name
Teva Investigational Site 060-1003
City
Naples
ZIP/Postal Code
80131
Country
Italy
Facility Name
Teva Investigational Site 060-1901
City
Seoul
ZIP/Postal Code
110-744
Country
Korea, Republic of
Facility Name
Teva Investigational Site 060-1903
City
Seoul
ZIP/Postal Code
138-736
Country
Korea, Republic of
Facility Name
Teva Investigational Site 060-1902
City
Seoul
ZIP/Postal Code
6351
Country
Korea, Republic of
Facility Name
Teva Investigational Site 060-1601
City
Culiacan
ZIP/Postal Code
80020
Country
Mexico
Facility Name
Teva Investigational Site 060-1603
City
Leon
ZIP/Postal Code
37000
Country
Mexico
Facility Name
Teva Investigational Site 060-1602
City
Monterrey
ZIP/Postal Code
64460
Country
Mexico
Facility Name
Teva Investigational Site 060-1604
City
Monterrey
ZIP/Postal Code
64610
Country
Mexico
Facility Name
Teva Investigational Site 060-1104
City
Gdansk
ZIP/Postal Code
80-542
Country
Poland
Facility Name
Teva Investigational Site 060-1101
City
Katowice
ZIP/Postal Code
40-123
Country
Poland
Facility Name
Teva Investigational Site 060-1105
City
Krakow
ZIP/Postal Code
31503
Country
Poland
Facility Name
Teva Investigational Site 060-1102
City
Poznan
ZIP/Postal Code
60-693
Country
Poland
Facility Name
Teva Investigational Site 060-1103
City
Warsaw
ZIP/Postal Code
02-793
Country
Poland
Facility Name
Teva Investigational Site 046-0704
City
Tomsk
ZIP/Postal Code
634050
Country
Russian Federation
Facility Name
Teva Investigational Site 046-0703
City
Voronezh
ZIP/Postal Code
394024
Country
Russian Federation
Facility Name
Teva Investigational Site 046-1702
City
Belgrade
ZIP/Postal Code
11000
Country
Serbia
Facility Name
Teva Investigational Site 046-1703
City
Belgrade
ZIP/Postal Code
11000
Country
Serbia
Facility Name
Teva Investigational Site 046-1701
City
Novi Sad
ZIP/Postal Code
21000
Country
Serbia
Facility Name
Teva Investigational Site 046-0605
City
Madrid
ZIP/Postal Code
28009
Country
Spain
Facility Name
Teva Investigational Site 046-0602
City
Madrid
ZIP/Postal Code
28922
Country
Spain
Facility Name
Teva Investigational Site 046-0603
City
Malaga
ZIP/Postal Code
29620
Country
Spain
Facility Name
Teva Investigational Site 046-0601
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
Facility Name
Teva Investigational Site 060-2003
City
Dnipropetrovsk
ZIP/Postal Code
49101
Country
Ukraine
Facility Name
Teva Investigational Site 060-2001
City
Kharkiv
ZIP/Postal Code
61068
Country
Ukraine
Facility Name
Teva Investigational Site 060-2002
City
Kharkiv
ZIP/Postal Code
61153
Country
Ukraine
Facility Name
Teva Investigational Site 060-2007
City
Kiev
ZIP/Postal Code
4080
Country
Ukraine
Facility Name
Teva Investigational Site 060-2005
City
Kyiv
ZIP/Postal Code
4209
Country
Ukraine
Facility Name
Teva Investigational Site 060-2006
City
Vinnytsia
ZIP/Postal Code
21005
Country
Ukraine
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Evaluation of Safety and Tolerability of Long-term TEV-50717 (Deutetrabenazine) for Treatment of Tourette Syndrome in Children and Adolescents
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