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Valbenazine Recommended for Tardive Dyskinesia

Int J Clin Pract; ePub 2017 May 12; Citrome

Valbenazine, a reversible inhibitor of vesicular monoamine transporter type 2 (VMAT2), is currently the only FDA-approved agent specifically indicated for the treatment of tardive dyskinesia (TD), according to a recent systematic review. Furthermore, valbenazine is about 15 times more likely to result in a response than in a discontinuation due to an adverse event. In an effort to describe the efficacy, tolerability, and safety of valbenazine for the treatment of TD, researchers found:

  • The percentage of responders in the Phase III acute study, as defined by ≥50% reduction from baseline in the Abnormal Involuntary Movement Scale dyskinesia score, was 40.0% for valbenazine 80 mg/d vs 8.7% for placebo.
  • The percentage of responders in the Phase III acute study, as defined by ≥50% reduction from baseline in the Abnormal Involuntary Movement Scale dyskinesia score, was 40.0% for valbenazine 80 mg/d vs 8.7% for placebo.
  • Discontinuation rates because of an adverse event were 2.9% for valbenazine-treated patients vs 1.6% for placebo-treated patients.

Citation:

Citrome L. Valbenazine for tardive dyskinesia: A systematic review of the efficacy and safety profile for this newly approved novel medication—What is the number needed to treat, number needed to harm and likelihood to be helped or harmed? [Published online ahead of print May 12, 2017]. Int J Clin Pract. doi:10.1111/ijcp.12964.