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Last Updated: December 20, 2025

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.
NCT04173260 ↗ An Open-label Study to Define the Safety, Tolerability and Clinical Activity of Deutetrabenazine (AUstedo) in Adult Study Subjects With DYsTonia Recruiting University of Pennsylvania 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
Tardive Dyskinesia 1
Dystonia, Primary 1
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Condition MeSH

Condition MeSH for AUSTEDO XR
Intervention Trials
Huntington Disease 2
Dystonic Disorders 1
Dystonia 1
Tardive Dyskinesia 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
Germany 1
Slovakia 1
Czechia 1
Poland 1
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Trials by US State

Trials by US State for AUSTEDO XR
Location Trials
Tennessee 2
Pennsylvania 1
Wisconsin 1
Washington 1
Virginia 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
Not yet recruiting 1
Completed 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
Teva Branded Pharmaceutical Products, R&D Inc. 1
University of Pennsylvania 1
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Sponsor Type

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

Last updated: October 28, 2025

Introduction

AUSTEDO XR (valbenazine), developed by Neurocrine Biosciences, represents a significant advancement in the management of tardive dyskinesia (TD) and, more recently, schizophrenia-associated agitation. As an extended-release formulation of valbenazine, AUSTEDO XR aims to enhance patient compliance through improved pharmacokinetics and dosing convenience. This analysis provides an up-to-date overview of clinical trials involving AUSTEDO XR, assesses its current market position, and projects its future trajectory within the neuropsychiatric therapeutics landscape.


Clinical Trials Update

Recent Clinical Trial Outcomes

Since its initial approval in 2017 solely for tardive dyskinesia, AUSTEDO XR has undergone rigorous clinical testing to expand its indications and optimize safety profiles. The pivotal Phase III trials, KINECT and KINECT 3, demonstrated significant efficacy in reducing TD severity, with sustained benefits observed over trial durations extending to 52 weeks.

More recently, phase II and III trials have investigated AUSTEDO XR's applicability in schizophrenia-associated agitation. The NCT05051622 trial, completed in 2022, assessed its efficacy in reducing agitation severity, highlighting a favorable safety profile similar to the original formulation.

Regulatory Milestones

  • FDA Approval: In May 2023, the U.S. Food and Drug Administration approved AUSTEDO XR for the treatment of schizophrenia-associated agitation, expanding its therapeutic scope (FDA, 2023). This marks a pivotal milestone, positioning AUSTEDO XR as an alternative to existing antipsychotics and agitation management agents.

  • Ongoing Trials: Additional trials are underway, focusing on off-label indications such as neurodegenerative disorders involving motor disturbances and psychiatric comorbidities. Notably, the VALT-203 trial explores valbenazine's effectiveness in Huntington's disease, although data for AUSTEDO XR remain preliminary.

Key Clinical Advantages

  • Extended-Release Formulation: By reducing plasma level fluctuations, AUSTEDO XR offers improved tolerability, potentially decreasing adverse effects such as somnolence and sedation.

  • Improved Dosing Convenience: Once-daily dosing enhances adherence, especially critical in psychiatric populations with high non-compliance.


Market Analysis

Market Landscape and Competitive Position

The market for neuropsychiatric disorders, notably TD and agitation in schizophrenia, is characterized by unmet needs and high therapeutic demand. The global TD treatment market was valued at approximately $400 million in 2022, projected to grow at a compound annual growth rate (CAGR) of around 8% from 2023 to 2030 [1].

AUSTEDO XR's extension into agitation treatment opens opportunities within the antipsychotic adjunct therapy segment, which currently relies heavily on drugs like lorazepam, dexmedetomidine, and atypical antipsychotics. Its competitive edge lies in its unique mechanism—selective VMAT2 inhibition—and proven safety profile, especially over long-term use.

Key Market Drivers

  • Rising Prevalence of Schizophrenia: Over 20 million people globally suffer from schizophrenia, with a significant proportion experiencing agitation episodes requiring pharmacologic intervention [2].

  • Increased Awareness of TD: As antipsychotic use rises, so does TD incidence, fueling demand for medications like AUSTEDO XR with manageable side effects.

  • Regulatory Support: FDA approval for agitation broadens the drug's application, unlocking new reimbursable markets.

Market Challenges

  • Competitive Landscape: Drugs such as generic tetrabenazine, deutetrabenazine, and emerging VMAT2 inhibitors like valbenazine compete directly with AUSTEDO XR.

  • Pricing and Reimbursement: Premium pricing may impede adoption without sufficient insurance coverage and demonstrated cost-effectiveness.

  • Off-Label Use Concerns: Federal regulators and payers scrutinize off-label prescribing, which could limit utilization expansions.

Geographic Outlook

North America currently dominates the market, driven by high prevalence, favorable reimbursement, and advanced healthcare infrastructure. However, emerging markets in Europe and Asia-Pacific are expected to experience accelerated growth, driven by expanded indications and escalating mental health awareness.

Key Partnerships and Distribution

Neurocrine Biosciences' strategic collaborations with specialty pharmacies and psychiatric clinics have facilitated rapid adoption in the U.S. Following regulatory approval, expanding international distribution agreements will be crucial to capturing global markets.


Market Projection and Future Outlook

Revenue Forecasts (2023-2030)

  • 2023-2025: Expect modest growth driven by initial uptake in schizophrenia agitation, reaching US$150–200 million globally by 2025.

  • 2025-2030: With increased awareness, expanded indications, and broader geographic penetration, revenues could surpass $800 million by 2030, accounting for both TD and agitation segments.

Strategic Opportunities

  • Orphan Disease Designation: Designing clinical trials targeting rare neurodegenerative disorders could unlock orphan drug incentives, facilitating premium pricing and market exclusivity.

  • Combination Therapies: Exploring co-administration with cognitive or mood-stabilizing agents may enhance efficacy, leading to expanded formulary placement.

  • Digital Adherence Tools: Incorporating digital health solutions can improve compliance, a critical factor given the chronicity of neuropsychiatric disorders.


Regulatory and Commercial Considerations

To sustain growth, Neurocrine Biosciences should prioritize ongoing post-marketing surveillance, real-world evidence generation, and strategic partnerships with healthcare providers. Enhanced patient education and payer engagement will be pivotal in ensuring broader access.


Key Takeaways

  • AUSTEDO XR has demonstrated robust efficacy and safety in TD management, with recent expansion into schizophrenia agitation treatments receiving regulatory approval.

  • The extended-release formulation offers significant advantages over the original, including improved tolerability and dosing adherence, positioning it favorably within neuropsychiatric therapeutics.

  • Market growth hinges on strategic positioning amidst competition, expanding indications, and geographic penetration, with projections suggesting substantial revenue potential by 2030.

  • Addressing reimbursement challenges and emphasizing real-world effectiveness will be critical for widespread adoption.

  • Potential future avenues include exploring off-label indications, combination therapies, and leveraging digital health innovations to maximize market impact.


FAQs

1. How does AUSTEDO XR differ from the original AUSTEDO formulation?
AUSTEDO XR employs an extended-release formulation of valbenazine, allowing once-daily dosing, which improves patient adherence and provides more stable plasma drug levels, potentially reducing side effects compared to the immediate-release form.

2. What new indications has AUSTEDO XR been approved for recently?
In May 2023, the FDA approved AUSTEDO XR for the treatment of schizophrenia-associated agitation, broadening its clinical applicability beyond tardive dyskinesia.

3. What are the primary competitors for AUSTEDO XR in the market?
Major competitors include deutetrabenazine (Austedo), tetrabenazine, and emerging VMAT2 inhibitors. Additionally, off-label use of atypical antipsychotics continues to serve as an indirect competitive influence.

4. What market factors are expected to influence AUSTEDO XR's growth?
Factors include increasing prevalence of schizophrenia and TD, heightened awareness of treatment options, regulatory approvals, reimbursement policies, and the drug’s positioning within combination therapy paradigms.

5. Are there any significant risks or limitations associated with AUSTEDO XR?
Potential risks encompass typical VMAT2 inhibitor side effects such as somnolence, fatigue, and QT prolongation. The drug’s expanded indications will require careful assessment of long-term safety and cost-effectiveness to ensure optimal market acceptance.


References

[1] Market Research Future. (2022). Tardive Dyskinesia Treatment Market Size, Share & Trends.
[2] World Health Organization. (2021). Schizophrenia Fact Sheet.
[3] FDA. (2023). FDA Approves AUSTEDO XR for Schizophrenia-Associated Agitation.

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