A Study of TEV-50717 (Deutetrabenazine) for the Treatment of Dyskinesia in Cerebral Palsy in Children and Adolescents

Last updated: August 14, 2023
Sponsor: Teva Branded Pharmaceutical Products R&D, Inc.
Overall Status: Completed

Phase

3

Condition

Cerebral Palsy

Dyskinesias

Treatment

TEV-50717

Placebo

Clinical Study ID

NCT03813238
TV50717-CNS-30080
2018-003742-17
  • Ages 6-18
  • All Genders

Study Summary

CP (cerebral palsy) refers to a group of neurological disorders that appear in infancy or early childhood and permanently affect body movement and muscle coordination. CP is caused by damage to or abnormalities inside the developing brain that disrupt the brain's ability to control movement and maintain posture and balance. The signs of CP usually appear in the early months of life, although specific diagnosis may be delayed until the age of 2 years or older. TEV-50717 (deutetrabenazine, also known as SD-809) has already provided evidence for safe and effective use in 2 other hyperkinetic movement disorders, namely chorea in Huntington's disease (HD) and tardive dyskinesia (TD). Currently, there is no approved treatment available for Dyskinesia in cerebral palsy (DCP). The available treatment options address some of the manifestations of DCP. The study population will include pediatric and adolescent participants (6 through 18 years of age) with DCP with predominant choreiform movement disorder, who have had nonprogressive CP symptoms since infancy (≤2 years of age). Diagnosis of DCP is based on the Surveillance of Cerebral Palsy in Europe criteria.

This is a Phase 3 study that will evaluate the efficacy and safety of TEV-50717 administered as oral tablets at a starting dose of 6 mg once daily in participants (age 6 through 18 years, inclusive) with DCP with predominant choreiform movement disorder. The study will be conducted in multiple centers and will use 2 parallel treatment groups (ie, TEV-50717 and placebo) in which participants will be randomized in a 2:1 ratio.

"Predominant" in this instance indicates that the choreiform movement disorder is the main cause of impairment or distress.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Participant is 6 through 18 years of age (inclusive) at baseline.
  • Participant weighs at least 26 pounds (12 kg) at baseline.
  • Participant has had CP symptoms since infancy (≤2 years)
  • Choreiform is the prevalent movement disorder as assessed by the EAB at screening.
  • Participant has a diagnosis of DCP
  • Participant is able to swallow study medication whole.
  • Females who are postmenarchal or ≥12 years of age whose male partners are potentiallyfertile (ie, no vasectomy) must use highly effective birth control methods for theduration of the study
  • Additional criteria apply, please contact the investigator for more information

Exclusion

Exclusion Criteria:

  • Participant has a predominant movement disorder other than dyskinesia.
  • Participant's predominant motor symptoms are dystonic.
  • Participant's predominant motor symptoms are spastic.
  • Participant has choreiform movement disorder that has not been consistent throughoutthe life of the participant.
  • Participant has clinically significant depression at screening or baseline.
  • Note: Participants receiving antidepressant therapy may be enrolled if on a stabledose for at least 6 weeks before screening.
  • Participant has a history of suicidal intent or related behaviors within 2 years ofscreening:
  • Previous intent to act on suicidal ideation with a specific plan, irrespective oflevel of ambivalence, at the time of suicidal thought
  • Previous suicidal preparatory acts or behavior
  • Participant has a history of a previous actual, interrupted, or aborted suicideattempt.
  • Participant has a first-degree relative who has completed suicide.
  • Participant has received treatment with stem cells, deep brain stimulation,transmagnetic stimulation, or transcranial direct current stimulation for treatment ofabnormal movements or CP within 6 months of the screening visit, or the participant isnot in a stable clinical condition.
  • Participant has recent surgical procedure or is anticipated to have a surgicalprocedure during the study that, in the opinion of the investigator, makes theParticipant unsuitable for the study.
  • Participant has a severe mental disability or an unstable or serious medical illness (eg, epilepsy) at screening or baseline that, in the opinion of the investigator,could jeopardize or would compromise the Participant's ability to participate in thisstudy.
  • Participant has a known allergy to any of the components of the investigationalmedicinal product (IMP).
  • Participant is pregnant or breastfeeding.
  • Participant has a history of or acknowledges alcohol or substance abuse in the 12months before screening
  • Participants with a history of torsade de pointes, congenital long QT syndrome,bradyarrhythmias, other cardiac arrhythmias, or uncompensated heart failure.
  • Additional criteria apply, please contact the investigator for more information

Study Design

Total Participants: 63
Treatment Group(s): 2
Primary Treatment: TEV-50717
Phase: 3
Study Start date:
August 06, 2019
Estimated Completion Date:
July 21, 2022

Connect with a study center

  • Teva Investigational Site 37102

    Brussels, 1200
    Belgium

    Site Not Available

  • Teva Investigational Site 37102

    Bruxelles, 1200
    Belgium

    Site Not Available

  • Teva Investigational Site 37100

    Luxembourg City, 1210
    Belgium

    Site Not Available

  • Teva Investigational Site 37102

    Woluwe-Saint-Lambert, 1200
    Belgium

    Site Not Available

  • Teva Investigational Site 11165

    Nepean, Ontario K2G 1W2
    Canada

    Site Not Available

  • Teva Investigational Site 11165

    Ottawa, K2G 1W2
    Canada

    Site Not Available

  • Teva Investigational Site 39058

    Copenhagen, 2100
    Denmark

    Site Not Available

  • Teva Investigational Site 80144

    Jerusalem, 9103102
    Israel

    Site Not Available

  • Teva Investigational Site 80145

    Safed, 13100
    Israel

    Site Not Available

  • Teva Investigational Site 80146

    Tel Aviv, 64239
    Israel

    Site Not Available

  • Teva Investigational Site 80146

    Tel-Aviv, 6423906
    Israel

    Site Not Available

  • Teva Investigational Site 80147

    Zerifin, 70300
    Israel

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  • Teva Investigational Site 30217

    Firenze, 50139
    Italy

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  • Teva Investigational Site 30214

    Milan, 20133
    Italy

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  • Teva Investigational Site 30214

    Milano, 20133
    Italy

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  • Teva Investigational Site 30213

    Napoli, 80138 -
    Italy

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  • Teva Investigational Site 30216

    Pisa, 56018
    Italy

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  • Teva Investigational Site 30212

    Roma, 00185
    Italy

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  • Teva Investigational Site 30215

    Roma, 00168
    Italy

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  • Teva Investigational Site 30212

    Rome, 00185
    Italy

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  • Teva Investigational Site 53426

    Chodziez, 64-800
    Poland

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  • Teva Investigational Site 53428

    Gdansk, 80-389
    Poland

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  • Teva Investigational Site 53434

    Gdansk, 80-211
    Poland

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  • Teva Investigational Site 53427

    Krakow, 30-539
    Poland

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  • Teva Investigational Site 53431

    Lublin, 20-828
    Poland

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  • Teva Investigational Site 53432

    Poznan, 60-693
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    Strzelin, 57100
    Poland

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  • Teva Investigational Site 53430

    Wiazowna, 05-462
    Poland

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    Kazan, 420021
    Russian Federation

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    Khabarovsk, 680013
    Russian Federation

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    Moscow, 129110
    Russian Federation

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    Moscow, 117513
    Russian Federation

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    Nizhniy Novgorod, 603950
    Russian Federation

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    Nizhny Novgorod, 603950
    Russian Federation

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  • Teva Investigational Site 50468

    Novosibirsk, 630091
    Russian Federation

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    Smolensk, 214018
    Russian Federation

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    Stavropol, 999999
    Russian Federation

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  • Teva Investigational Site 50474

    Tyumen, 625023
    Russian Federation

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  • Teva Investigational Site 50476

    Voronezh, 394024
    Russian Federation

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  • Teva Investigational Site 62054

    Banska Bystrica, 974 04
    Slovakia

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  • Teva Investigational Site 62053

    Dubnica Nad Vahom, 01841
    Slovakia

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  • Teva Investigational Site 31253

    Barcelona, 8035
    Spain

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    Cordoba, 14011
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    Granada, 18013
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    Madrid, 28009
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    Madrid, 28046
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    Sevilla, 41015
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    Valencia, 46026
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    Dnipropetrovsk, 49027
    Ukraine

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    Kharkiv, 61068
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    Kyiv, 04209
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    Odesa, 65012
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    Odessa, 65011
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    Uzhgorod, 88018
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    Vinnitsa, 21005
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    Vinnytsa, 21005
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  • Teva Investigational Site 58310

    Vinnytsya, 21037
    Ukraine

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  • Teva Investigational Site 34246

    Bristol, BS2 8BJ
    United Kingdom

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  • Teva Investigational Site 34245

    Edinburgh, EH9 1LF
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  • Teva Investigational Site 34243

    London, SE1 7EH
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  • Teva Investigational Site 34247

    Norwich, NR4 7UY
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  • Teva Investigational Site 34244

    Sheffield, S10 2TH
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    Birmingham, Alabama 35233
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    Phoenix, Arizona 85016
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    Irvine, California 92606
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    Loma Linda, California 92354
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    Los Angeles, California 90057
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  • Teva Investigational Site 14126

    Pomona, California 91767
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  • Teva Investigational Site 14295

    San Diego, California 92123
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  • Teva Investigational Site 14293

    Washington, District of Columbia 20010
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  • Teva Investigational Site 14127

    Miami, Florida 33155
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  • Teva Investigational Site 14120

    Orlando, Florida 32819
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  • Teva Investigational Site 14125

    Tampa, Florida 33609
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  • Teva Investigational Site 14136

    Atlanta, Georgia 30318
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  • Teva Investigational Site 14291

    Atlanta, Georgia 30328
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  • Teva Investigational Site 14130

    Savannah, Georgia 31406
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  • Teva Investigational Site 14290

    New Orleans, Louisiana 70118-5720
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  • Teva Investigational Site 14133

    Royal Oak, Michigan 48073
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  • Teva Investigational Site 14226

    Saint Paul, Minnesota 55101
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  • Teva Investigational Site 14121

    Columbia, Missouri 65212
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  • Teva Investigational Site 14347

    Kansas City, Missouri 64108
    United States

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  • Teva Investigational Site 14134

    Lincoln, Nebraska 68526
    United States

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  • Teva Investigational Site 14122

    Gibbsboro, New Jersey 08026
    United States

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  • Teva Investigational Site 14297

    New Brunswick, New Jersey 08901
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  • Teva Investigational Site 14122

    Voorhees, New Jersey 08043
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  • Teva Investigational Site 14225

    New York, New York 10032
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  • Teva Investigational Site 14123

    Rochester, New York 14642
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  • Teva Investigational Site 14348

    Portland, Oregon 97239
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  • Teva Investigational Site 14349

    Philadelphia, Pennsylvania 19104
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  • Teva Investigational Site 14299

    Charleston, South Carolina 29414
    United States

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  • Teva Investigational Site 14129

    Nashville, Tennessee 37232
    United States

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  • Teva Investigational Site 14294

    Dallas, Texas 75219
    United States

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  • Teva Investigational Site 14228

    Houston, Texas 77030
    United States

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  • Teva Investigational Site 14223

    Richmond, Virginia 23298
    United States

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  • Teva Investigational Site 14135

    Everett, Washington 98201
    United States

    Site Not Available

  • Teva Investigational Site 14350

    Marshfield, Wisconsin 54449-5703
    United States

    Site Not Available

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