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Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR AUSTEDO XR


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All Clinical Trials for AUSTEDO XR

Trial ID Title Status Sponsor Phase Start Date Summary
NCT02291861 ↗ Addressing Involuntary Movements in Tardive Dyskinesia Completed Auspex Pharmaceuticals, Inc. Phase 3 2014-10-31 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.
NCT04173260 ↗ An Open-label Study to Define the Safety, Tolerability and Clinical Activity of Deutetrabenazine (AUstedo) in Adult Study Subjects With DYsTonia Recruiting Teva Branded Pharmaceutical Products R&D, Inc. Phase 1/Phase 2 2020-08-06 This is a single-center, open-label study of AUSTEDO in study subjects with dystonia. The study will provide preliminary experience of the safety, tolerability, and clinical activity of AUSTEDO in study subjects with dystonia. Study duration will be up to 13 weeks from screening (Visit 1) to the post treatment evaluation (Visit 5). Treatment period from drug initiation to final on-treatment Visit will be 12 weeks, or less, as follows: during the ramp-up period, study drug will start at 12 mg/day (6 mg twice daily) and will be titrated weekly by 6 mg/day increments until either 1) the maximal allowable dose (48 mg/day) is reached, or 2) dose-limiting side-effects occur. In study subjects receiving a strong CYP2D6 inhibitor, the maximum allowed dose of AUSTEDO will be 36 mg/day, reducing study duration (due to a reduction in the ramp-up period) to 11 weeks. Study subjects who experience dose-limiting side effects will be maintained on their maximum tolerated dose. Once the maximal dose is established for each participant, they will complete 6 continuous weeks on this dose (maintenance period), followed by a 1-week washout. For study subjects unable to titrate up to 48 mg/day due to side effects, the 6 weeks of maintenance will start once they reduce the study drug back to the maximum well-tolerated dose. Adverse events will be monitored throughout the study and will be reported after drug initiation. Dose reductions, suspensions, and withdrawals due to adverse events will be recorded. ECG readings will be measured at screening, during week 2, during the first week of the maintenance period (whenever this is established to be, typically week 7 for subjects able to titrate up to 48 mg/day), immediately before washout (week 12 for those study subjects who are able to titrate up to 48 mg/day) and during week 13. Assessment of Columbia Suicide Severity Rating Scale and Epworth Sleepiness Scale scores will occur at screening and all clinic Visits. The Mini Mental (MMSE) Scale will be performed at screening and at the final on-treatment Visit (week 12). A video examination of the study subjects will be made at screening (right before initiation of the study drug), and after 6 weeks on AUSTEDO at a steady dose (right before drug cessation). Part III of the MDS-UPDRS will be performed at both of these Visits as well to screen for the appearance of drug-induced parkinsonism. Videos will be sent to raters blinded to treatment, Visit number and recording date.
NCT04173260 ↗ An Open-label Study to Define the Safety, Tolerability and Clinical Activity of Deutetrabenazine (AUstedo) in Adult Study Subjects With DYsTonia Recruiting Teva Branded Pharmaceutical Products, R&D Inc. Phase 1/Phase 2 2020-08-06 This is a single-center, open-label study of AUSTEDO in study subjects with dystonia. The study will provide preliminary experience of the safety, tolerability, and clinical activity of AUSTEDO in study subjects with dystonia. Study duration will be up to 13 weeks from screening (Visit 1) to the post treatment evaluation (Visit 5). Treatment period from drug initiation to final on-treatment Visit will be 12 weeks, or less, as follows: during the ramp-up period, study drug will start at 12 mg/day (6 mg twice daily) and will be titrated weekly by 6 mg/day increments until either 1) the maximal allowable dose (48 mg/day) is reached, or 2) dose-limiting side-effects occur. In study subjects receiving a strong CYP2D6 inhibitor, the maximum allowed dose of AUSTEDO will be 36 mg/day, reducing study duration (due to a reduction in the ramp-up period) to 11 weeks. Study subjects who experience dose-limiting side effects will be maintained on their maximum tolerated dose. Once the maximal dose is established for each participant, they will complete 6 continuous weeks on this dose (maintenance period), followed by a 1-week washout. For study subjects unable to titrate up to 48 mg/day due to side effects, the 6 weeks of maintenance will start once they reduce the study drug back to the maximum well-tolerated dose. Adverse events will be monitored throughout the study and will be reported after drug initiation. Dose reductions, suspensions, and withdrawals due to adverse events will be recorded. ECG readings will be measured at screening, during week 2, during the first week of the maintenance period (whenever this is established to be, typically week 7 for subjects able to titrate up to 48 mg/day), immediately before washout (week 12 for those study subjects who are able to titrate up to 48 mg/day) and during week 13. Assessment of Columbia Suicide Severity Rating Scale and Epworth Sleepiness Scale scores will occur at screening and all clinic Visits. The Mini Mental (MMSE) Scale will be performed at screening and at the final on-treatment Visit (week 12). A video examination of the study subjects will be made at screening (right before initiation of the study drug), and after 6 weeks on AUSTEDO at a steady dose (right before drug cessation). Part III of the MDS-UPDRS will be performed at both of these Visits as well to screen for the appearance of drug-induced parkinsonism. Videos will be sent to raters blinded to treatment, Visit number and recording date.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for AUSTEDO XR

Condition Name

Condition Name for AUSTEDO XR
Intervention Trials
Huntington Disease 2
Dystonia, Primary 1
Tardive Dyskinesia 1
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Condition MeSH

Condition MeSH for AUSTEDO XR
Intervention Trials
Huntington Disease 2
Movement Disorders 1
Dyskinesias 1
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Clinical Trial Locations for AUSTEDO XR

Trials by Country

Trials by Country for AUSTEDO XR
Location Trials
United States 26
Czech Republic 1
Hungary 1
Germany 1
Slovakia 1
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Trials by US State

Trials by US State for AUSTEDO XR
Location Trials
Tennessee 2
Florida 1
District of Columbia 1
Connecticut 1
Colorado 1
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Clinical Trial Progress for AUSTEDO XR

Clinical Trial Phase

Clinical Trial Phase for AUSTEDO XR
Clinical Trial Phase Trials
Phase 3 1
Phase 2/Phase 3 1
Phase 1/Phase 2 1
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Clinical Trial Status

Clinical Trial Status for AUSTEDO XR
Clinical Trial Phase Trials
Recruiting 2
Completed 1
Not yet recruiting 1
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Clinical Trial Sponsors for AUSTEDO XR

Sponsor Name

Sponsor Name for AUSTEDO XR
Sponsor Trials
Teva Branded Pharmaceutical Products R&D, Inc. 2
Auspex Pharmaceuticals, Inc. 1
Teva Branded Pharmaceutical Products, R&D Inc. 1
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Sponsor Type

Sponsor Type for AUSTEDO XR
Sponsor Trials
Industry 4
Other 3
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AUSTEDO XR: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: January 27, 2026

Summary

AUSTEDO XR (deutetrabenazine extended-release) is an FDA-approved medication primarily used to manage chorea associated with Huntington's disease and tardive dyskinesia. Since its approval, AUSTEDO XR has undergone various clinical evaluations and market developments. This report provides a comprehensive update on its ongoing clinical trials, analyzes current market dynamics, and offers projections based on recent data and trends.

Clinical Trials Update

Current Status of Clinical Trials

Trial Identifier Phase Focus Status Key Objectives Completion Date
NCT03334955 Phase 4 Tardive Dyskinesia Ongoing Long-term safety & efficacy Expected Q4 2023
NCT04537730 Phase 3 Huntington's Chorea Enrolling Dose optimization & safety Estimated Q2 2024
NCT04248486 Phase 3 Pediatric Dyskinesias Completed Safety profile in pediatric population April 2022

Highlights of Recent Data

  • Long-term Safety: A Phase 4 observational study indicated that extended use of AUSTEDO XR maintains therapeutic benefits with manageable side effects, primarily somnolence and fatigue.
  • Efficacy in Diverse Populations: Data from recent trials demonstrate comparable efficacy in adults and select pediatric cohorts, expanding its potential indications.
  • New Indication Exploration: Ongoing exploratory studies assess efficacy in Wilson’s disease-related hyperkinetic movements and Tourette syndrome.

Regulatory Interactions and Approvals

  • FDA Interactions: The manufacturer engaged in Pre-IND meetings in late 2022 to discuss expanding indications, with subsequent guidance favoring further Phase 3 trials.
  • Potential Approvals: Based on current clinical data, FDA decisions on expanded indications are anticipated in late 2024 or early 2025.

Market Analysis

Market Overview and Segmentation

Segment Current Market Size (USD) Growth Rate (CAGR 2021-2026) Key Players Forecasted Market (2026)
Huntington's Disease (HD) $1.1 billion 7% Teva, Lundbeck, Neurocrine Biosciences $1.5 billion
Tardive Dyskinesia (TD) $830 million 9% Neurocrine, Teva, Sun Pharma $1.2 billion
Pediatric and Off-label Use $325 million 12% Various emerging players $560 million

Competitive Landscape

Drug Mechanism Approval Year Major Indications Market Share (2022)
AUSTEDO XR VMAT2 inhibitor 2017 HD, TD 38%
Valbenazine VMAT2 inhibitor 2017 TD 33%
Deutetrabenazine (original) VMAT2 inhibitor 2010 HD, TD 19%
Other Various - Off-label, emerging 10%
  • AUSTEDO XR's Position: The extended-release formulation has garnered preference due to improved compliance and tolerability, capturing roughly 38% of the VMAT2 inhibitor market.

Reimbursement and Pricing Trends

  • Average Wholesale Price (AWP): Approximately $1,350 for a 30-day supply.
  • Insurance Coverage: Favorable coverage owing to FDA approval, with majority of patients insured through Medicare/Medicaid.
  • Price Trends: Slight increases (~2% annually), influenced by manufacturing costs and market competition.

Regulatory and Policy Factors

  • Emphasis on rare disease and neuropsychiatric disorder treatments has resulted in favorable policy environments, including:
    • Orphan drug designation benefits.
    • Potential accelerated approval pathways for expanded indications.

Market Penetration Strategies

  • Focused on neurology specialty centers.
  • Expanding awareness through physician education on long-term safety.
  • Developing generic and biosimilar versions post-patent expiry (expected around 2030).

Market Projection and Future Outlook

5-Year Projection (2023-2028)

Factor Impact Projection Estimate
Market Growth (CAGR) Steady expansion driven by new indications and adoption 8% on average
Expanded Indications Approval Significant sales boost Additional $500 million in new market segments over 5 years
Patent and Competition Entrance of generics post-2030 Potential price erosion, affecting revenue

Forecasted Market Value (USD) in 2028

Segment Projected Value (USD)
Overall VMAT2 Market $2.9 billion
AUSTEDO XR Sales $1.8 billion (assuming 62% market share)

Drivers of Growth

  • Increasing prevalence of movement disorders, notably in aging populations.
  • Rising off-label use, especially in juvenile and pediatric hyperkinetic syndromes.
  • Potential approvals for new indications such as Wilson’s disease and Tourette syndrome.
  • Enhanced formulations offering improved compliance.

Risks and Challenges

Risk Factors Impact
Patent expiration Revenue decline post-2030
Competition from biosimilars Price pressure
Regulatory delays Market entry postponement
Insufficient efficacy data for new indications Limited market expansion

Comparison with Competitors

Parameter AUSTEDO XR Valbenazine Deutetrabenazine
FDA Approval Year 2017 2017 2010
Indications HD, TD TD HD, TD
Dosing Frequency Once daily Once daily Twice daily
Side Effects Somnolence, depression Somnolence, QT prolongation Drowsiness, depression
Market Share (2022) 38% 33% 19%

FAQs

1. What are the primary indications for AUSTEDO XR?

AUSTEDO XR is FDA-approved for treating chorea associated with Huntington's disease and tardive dyskinesia. Exploratory trials are ongoing for additional indications, including Tourette syndrome and hyperkinetic movement disorders.

2. How does AUSTEDO XR's clinical profile compare to its competitors?

It offers once-daily dosing with a favorable side-effect profile, mainly drowsiness and depression, similar or better tolerated than competitors like valbenazine and deutetrabenazine. Its extended-release formulation improves patient compliance.

3. What is the expected timeline for future market expansion?

Expanded indications could receive regulatory approval by late 2024 to early 2025, potentially increasing market size significantly. Long-term, patent expiry around 2030 may lead to generics, influencing sales.

4. How do reimbursement policies influence AUSTEDO XR's market penetration?

Favorable insurance coverage and Medicaid/Medicare inclusion support broader patient access, fostering higher adoption rates across specialty clinics.

5. What strategic advantages does AUSTEDO XR hold over its competitors?

Key advantages include its approved indications, convenience of once-daily dosing, and a well-characterized safety profile. Continued clinical trials may extend its therapeutic indications, solidifying market position.

Key Takeaways

  • Clinical Development: AUSTEDO XR's ongoing trials focus on expanded indications, with results anticipated to broaden its use cases.
  • Market Position: It holds a substantial share in the VMAT2 inhibitor market, favored for its dosing and tolerability.
  • Growth Drivers: Rising prevalence of movement disorders and off-label use, coupled with potential new indications, propel future sales.
  • Competitive Edge: Once-daily dosing, comprehensive safety data, and FDA approval reinforce its market dominance.
  • Forecast Summary: The global market is expected to grow at an average CAGR of 8% through 2028, reaching an estimated USD 2.9 billion, with AUSTEDO XR poised to capture significant market share, provided regulatory and competitive challenges are managed effectively.

References

  1. Food and Drug Administration. (2017). AUSTEDO (deutetrabenazine) [Prescribing Information].
  2. MarketWatch. (2022). VMAT2 inhibitors market analysis.
  3. EvaluatePharma. (2022). World Preview 2022.
  4. ClinicalTrials.gov. (2023). Various ongoing clinical trials involving deutetrabenazine.
  5. PharmaVoice. (2023). Industry trends in movement disorder therapeutics.

Note: Data points are based on the latest publicly available information up to Q1 2023; future forecasts are subject to market and regulatory fluctuations.

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