Evidence map›Paper›PMID 31234240›Full record

Trial reportMovement disorders : official journal of the Movement Disorder Society2019

Abnormal involuntary movement scale in tardive dyskinesia: Minimal clinically important difference.

Mark Stacy, Martha Sajatovic, John M Kane, Andrew J Cutler, Grace S Liang, Christopher F O'Brien, Christoph U Correll

Erratum issued 5 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Movement disorders : official journal of the Movement Disorder Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 5 registered trials, which are not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01688037 phase2completednot on this map

A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of NBI-98854 for the Treatment of Tardive Dyskinesia in Subjects With Schizophrenia or Schizoaffective Disorder

TypeinterventionalSponsorNeurocrine BiosciencesRan2012 to 2013Enrolled109ConditionsTardive DyskinesiaArmsNBI-98854, Placebo
NCT01733121 phase2completednot on this map

A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Dose-Titration Study to Assess the Safety, Tolerability, and Efficacy of NBI-98854 for the Treatment of Tardive Dyskinesia

TypeinterventionalSponsorNeurocrine BiosciencesRan2012 to 2013Enrolled102ConditionsTardive DyskinesiaArmsNBI-98854, Placebo
NCT02274558 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel, Fixed-Dose Study to Assess the Efficacy, Safety, and Tolerability of NBI-98854 for the Treatment of Tardive Dyskinesia

TypeinterventionalSponsorNeurocrine BiosciencesRan2014 to 2016Enrolled234ConditionsTardive DyskinesiaArmsNBI-98854, Placebo
NCT06107829 phase4withdrawnnot on this mapstarted 2025, after this paper: background citation

Identification, Assessment, and Treatment of Tardive Dyskinesia With Valbenazine in Adults With Intellectual/Developmental Disabilities and Co-occurring Psychiatric and/or Behavioral Disorders

TypeinterventionalSponsorStephen RuedrichRan2025 to 2027Enrolled0ConditionsTardive Dyskinesia, Intellectual Disability, Developmental DisabilitiesArmsValbenazine Oral Capsule
NCT06997198 phase4recruitingnot on this mapstarted 2026, after this paper: background citation

Identification, Assessment, and Treatment of Tardive Dyskinesia With Deutetrabenazine in Adults With Intellectual/Developmental Disabilities and Co-occurring Psychiatric and/or Behavioral Disorders

TypeinterventionalSponsorUniversity Hospitals Cleveland Medical CenterRan2026 to 2027Enrolled25ConditionsTardive Dyskinesia, Intellectual Disability, Developmental DisabilitiesArmsDeutetrabenazine Oral Capsule
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Current neuropharmacology · 2024
    Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Outcome Selection for Research Studies in Movement Disorders.Movement disorders clinical practice · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Management of Tardive Syndrome: Medications and Surgical Treatments.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Mark StacyBrody School of Medicine, East Carolina University, Greenville, North Carolina, USA.
Martha SajatovicCase Western Reserve University School of Medicine, Cleveland, Ohio, USA.
John M KaneThe Zucker Hillside Hospital, Glen Oaks, New York, USA.
Andrew J CutlerSUNY Upstate Medical University, Syracuse, NY, USA.
Grace S LiangNeurocrine Biosciences, Inc., San Diego, California, USA.
Christopher F O'BrienNeurocrine Biosciences, Inc., San Diego, California, USA.
Christoph U CorrellThe Zucker Hillside Hospital, Glen Oaks, New York, USA.
Donald & Barbara Zucker School of Medicine at Hofstra/Northwell · USNeurocrine Biosciences (United States) · USCase Western Reserve University · USEast Carolina University · USSUNY Upstate Medical University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA minimal clinically important difference has not been established for the Abnormal Involuntary Movement Scale in patients with tardive dyskinesia. Valbenazine is a vesicular monoamine transporter 2 inhibitor approved for the treatment of tardive dyskinesia in adults. Efficacy in randomized, double-blind, placebo-controlled trials was defined as the change from baseline in Abnormal Involuntary Movement Scale total score (sum of items 1-7).

objectivesTo estimate an minimal clinically important difference for the Abnormal Involuntary Movement Scale using valbenazine trial data and an anchor-based method.

methodsData were pooled from three 6-week double-blind, placebo-controlled trials: KINECT (NCT01688037), KINECT 2 (NCT01733121), and KINECT 3 (NCT02274558). Valbenazine doses were pooled for analyses as follows: "low dose," which includes 40 or 50 mg/day; and "high dose," which includes 75 or 80 mg/day. Mean changes from baseline in Abnormal Involuntary Movement Scale total score were analyzed in all participants (valbenazine- and placebo-treated) with a Clinical Global Impression of Change-Tardive Dyskinesia or Patient Global Impression of Change score of 1 (very much improved) to 3 (minimally improved).

resultsThe least squares mean improvement from baseline to week 6 in Abnormal Involuntary Movement Scale total score was significantly greater with valbenazine (low dose: -2.4; high dose: -3.2; both, P < 0.001) versus placebo (-0.7). An minimal clinically important difference of 2 points was estimated based on least squares mean changes in Abnormal Involuntary Movement Scale total score in participants with a Clinical Global Impression of Change-Tardive Dyskinesia score ≤3 at week 6 (mean change: -2.2; median change: -2) or Patient Global Impression of Change score ≤3 at week 6 (mean change: -2.0; median change: -2).

conclusionsResults from an anchor-based method indicate that a 2-point decrease in Abnormal Involuntary Movement Scale total score may be considered clinically important. © 2019 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society.

Indexed as

Minimal Clinically Important DifferenceAgedAntipsychotic AgentsFemaleHumansMaleMiddle AgedMood DisordersPsychotic DisordersSchizophreniaTardive DyskinesiaTetrabenazineTreatment OutcomeValineVesicular Monoamine Transport ProteinsAntipsychotic AgentsTetrabenazinevalbenazineValineVesicular Monoamine Transport ProteinsAIMSclinical trialMCIDtardive dyskinesiavalbenazine

Identifiers

PMID31234240
PMCPMC6772010
OpenAlexW2955480992

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.