Evidence map›Paper›PMID 37772282›Full record

ArticleMovement disorders clinical practice2023

Safety and Efficacy of Long-Term Deutetrabenazine Use in Children and Adolescents with Tics Associated with Tourette Syndrome: An Open-Label Extension Study.

Joseph Jankovic, Barbara Coffey, Daniel O Claassen, Joohi Jimenez-Shahed, Barry J Gertz, Elizabeth A Garofalo, David A Stamler, Maria Wieman, Juha-Matti Savola, Eran Harary and 3 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Movement disorders clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03567291 (An Open-Label, Long-Term Safety Study Including a Double-Blind, Placebo-Controlled, Randomized Withdrawal Period of TEV-50717), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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.

NCT03567291 phase3terminatednot on this map

An Open-Label, Long-Term Safety Study Including a Double-Blind, Placebo-Controlled, Randomized Withdrawal Period of TEV-50717 (Deutetrabenazine) for the Treatment of Tourette Syndrome in Children and Adolescents

TypeinterventionalSponsorTeva Branded Pharmaceutical Products R&D, Inc.Ran2018 to 2020Enrolled228ConditionsTourette SyndromeArmsTEV-50717, Placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Tourette syndrome.Nature reviews. Disease primers · 2026
    Review
  3. Update on the Pathophysiology and Management of Tics.Current neurology and neuroscience reports · 2026
    Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 4 countries.

Joseph JankovicParkinson's Disease Center and Movement Disorders Clinic, Department of Neurology Baylor College of Medicine Houston Texas USA.
Barbara CoffeyDepartment of Psychiatry and Behavioral Sciences, Child and Adolescent Psychiatry University of Miami Miller School of Medicine Miami Florida USA.
Daniel O ClaassenDepartment of Neurology, Division of Behavioral and Cognitive Neurology Vanderbilt University Medical Center Nashville Tennessee USA.
Joohi Jimenez-ShahedMovement Disorders Neuromodulation & Brain Circuit Therapeutics, Departments of Neurology and Neurosurgery Icahn School of Medicine at Mount Sinai New York New York USA.
Barry J GertzNuvelution TS Pharma Inc. San Francisco California USA.
Elizabeth A GarofaloNuvelution TS Pharma Inc. San Francisco California USA.
David A StamlerTeva Branded Pharmaceutical Products R&D, Inc. La Jolla California USA.
Maria WiemanTeva Branded Pharmaceutical Products R&D, Inc. West Chester Pennsylvania USA.
Juha-Matti SavolaTeva Pharmaceuticals International GmbH Basel Switzerland.
Eran HararyInnovative Medicines, Global Clinical Development Teva Pharmaceutical Industries Ltd. Netanya Israel.
Jessica AlexanderGlobal Medical Affairs Teva Branded Pharmaceutical Products R&D, Inc. West Chester Pennsylvania USA.
Hadas BarkayInnovative Medicines, Global Clinical Development Teva Pharmaceutical Industries Ltd. Netanya Israel.
Mark Forrest GordonInnovative Medicines, Global Clinical Development Teva Branded Pharmaceutical Products R&D, Inc. West Chester Pennsylvania USA.
Teva Pharmaceuticals (United States) · USTeva Pharmaceuticals (Israel) · ILZoneOne Pharma (United States) · USBaylor College of Medicine · USCircuit Therapeutics (United States) · USLa Jolla Pharmaceutical (United States) · USTeva Pharmaceuticals (Switzerland) · CHUniversity of Miami · USVanderbilt University Medical Center · US

Funding

Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Jeffrey L Neul · 2020 to 2026
$10.3M
NICHD NIH HHS P50 HD103537
6 · The paper itself

Abstract

Background: Tourette syndrome (TS) is a neurodevelopmental disorder characterized by motor and phonic tics. Objective: To assess the safety and efficacy of deutetrabenazine (Teva Neuroscience, Inc, Parsippany, NJ), a vesicular monoamine transporter 2 inhibitor, in children and adolescents with TS. Methods: Alternatives for Reducing Tics in TS (ARTISTS) open-label extension (OLE) (NCT03567291) was a 54-week, global, phase 3, open-label extension study of deutetrabenazine (6-48 mg daily) conducted May 28, 2018 to April 3, 2020 with a 2-week randomized withdrawal period. Participants (6-16 years of age) had TS and active tics causing distress or impairment. Safety (primary outcome) was assessed by treatment-emergent adverse events (TEAEs) and clinical laboratory testing. Efficacy was measured by the Yale Global Tic Severity Scale-Total Tic Score (YGTSS-TTS). Results: The intent-to-treat population (228 participants; mean age, 12.0 years; 79.8% male; 86.4% white) had a median (range) duration of exposure of 28.4 (0.3-52.9) weeks. Of 227 participants in the safety analysis, 161 (70.9%) reported ≥1 TEAE (exposure-adjusted incidence rate, 2.77/patient-year), of which 95 (41.9%) were treatment related. The most frequently reported TEAEs were headaches, somnolence, nasopharyngitis, weight increases, and anxiety. No additional safety signals were observed. Worsening of YGTSS-TTS after the 2-week randomized withdrawal was not statistically significant (least squares mean difference, -0.4; Conclusions: In this long-term, open-label trial, deutetrabenazine was well tolerated with low frequency of TEAEs. There was no significant difference in tics between treatment arms during the 2-week randomized withdrawal period, however, descriptive statistics and comparison with baseline showed a numeric improvement in tics, quality of life, and other measures.

Indexed as

adolescentschildrendeutetrabenazineTourette syndromeVMAT2

Identifiers

PMID37772282
PMCPMC10525047
OpenAlexW4385381818

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.