Safety profile in tardive dyskinesia

Demonstrated safety and tolerability profile in the widest range of patients1,2

DATA FROM 3 6-WEEK, CONTROLLED STUDIES (KINECT, KINECT 2, and KINECT 3), INCLUDING POST HOC ANALYSIS

Adverse reactions reported at 2% and >placebo through 6 weeks (safety population)1,2

INGREZZA Adverse Reactions for TD, chart
Adverse
Reaction
INGREZZA
(N=262) (%)
Placebo
(N=183) (%)
Somnolence 10.9% 4.2%
Somnolencea 5.3% 2.2%
Fatiguea 4.2% 1.6%
Sedationa 1.2% 0.6%
Anticholinergic effects 5.4% 4.9%
Dry moutha 3.4% 1.6%
Constipationa 1.2% 2.7%
Disturbance in attentiona 0.4% 0.0%
Vision blurreda 0.4% 0.0%
Urinary retentiona 0.0% 0.6%
Balance disorders/fall 4.1% 2.2%
Falla 1.5% 0.0%
Gait disturbancea 1.2% 0.0%
Dizzinessa 0.8% 1.6%
Balance disordera 0.4% 0.0%
Headache 3.4% 2.7%
Akathisia 2.7% 0.5%
Akathisiaa 2.3% 0.6%
Restlessnessa 0.4% 0.0%
Vomiting 2.6% 0.6%
Nausea 2.3% 2.1%
Arthralgia 2.3% 0.5%
a

Individual preferred adverse terms are separated and their incidence were analyzed based on preliminary and post hoc analyses of data pooled from 3 6-week, controlled studies (KINECT, KINECT 2, KINECT 3); analysis may differ from Prescribing Information.

PROVEN ACROSS THE WIDEST RANGE OF PATIENTS1,3

Get data-informed dosing recommendations for drug interactions and special populations

Psychiatric safety was generally maintained with INGREZZA
treatment2

PSYCHIATRIC SAFETY ASSESSMENTS IN KINECT 3

Safety assessments of psychiatric disorders from baseline through 6 weeks3

Safety assessments of psychiatric disorders for TD, chart
Disorder Measure Observed increase
or worsening
Schizophrenia PANSSa No
Mania YMRSb No
Depression CDSSc, MADRSd No
Suicidal ideation/
behavior
C-SSRSe No
a

Mean change in Positive and Negative Syndrome Scale (PANSS) total score from baseline at 6 weeks was −0.4 for INGREZZA 40 mg, −0.8 for INGREZZA 80 mg, and ±0.0 for placebo.

b

Mean change in Young Mania Rating Scale (YMRS) total score from baseline at 6 weeks was −0.4 for INGREZZA 40 mg, −1.4 for INGREZZA 80 mg, and +0.5 for placebo.

c

Mean change in Calgary Depression Scale for Schizophrenia (CDSS) total score from baseline at 6 weeks was −0.5 for INGREZZA 40 mg, −0.4 for INGREZZA 80 mg, and −0.1 for placebo.

d

Mean change in Montgomery-Asberg Depression Rating Scale (MADRS) total score from baseline at 6 weeks was ±0.0 for INGREZZA 40 mg, −1.5 for INGREZZA 80 mg, and +1.2 for placebo.

e

Incidence of suicidal ideation or behavior on the Columbia Suicide Severity Rating Scale (C-SSRS) was 5.6% for INGREZZA 40 mg, 2.5% for INGREZZA 80 mg, and 5.3% for placebo.

SEE LONG-TERM SAFETY AND TOLERABILITY WITH INGREZZA

Review results of the KINECT 4 study—a phase 3, long-term, open-label study evaluating the safety and tolerability of once-daily INGREZZA.4

REFERENCES:

  1. INGREZZA [package insert]. San Diego, CA: Neurocrine Biosciences, Inc.
  2. Data on file. Neurocrine Biosciences, Inc.
  3. Deutrabenazine [package insert]. Parsippany, NJ: Teva Neuroscience, Inc.
  4. Marder SR, Singer C, Lindenmayer JP, et al. A phase 3, 1-year, open-label trial of valbenazine in adults with tardive dyskinesia. J Clin Psychopharmacol. 2019;39(6):620-627.
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Important Safety Information

Depression and Suicidality in Patients with Huntington’s Disease: VMAT2 inhibitors, including INGREZZA, can increase the risk of depression and suicidal thoughts and

Important Information

INDICATION & USAGE

INGREZZA® (valbenazine) capsules and INGREZZA® SPRINKLE (valbenazine) capsules are indicated in adults for the treatment of tardive dyskinesia and for the treatment of chorea associated with Huntington’s disease.

IMPORTANT SAFETY INFORMATION

Depression and Suicidality in Patients with Huntington’s Disease: VMAT2 inhibitors, including INGREZZA and INGREZZA SPRINKLE, can increase the risk of depression and suicidal thoughts and behavior (suicidality) in patients with Huntington’s disease. Balance the risks of depression and suicidality with the clinical need for treatment of chorea. Closely monitor patients for the emergence or worsening of depression, suicidal ideation, or unusual changes in behavior. Inform patients, their caregivers, and families of the risk of depression and suicidal ideation and behavior and instruct them to report behaviors of concern promptly to the treating physician. Exercise caution when treating patients with a history of depression or prior suicide attempts or ideation, which are increased in frequency in patients with Huntington’s disease.