Details
Stereochemistry | RACEMIC |
Molecular Formula | C19H27NO3 |
Molecular Weight | 323.4596 |
Optical Activity | ( + / - ) |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[H][C@@]12CC(=O)[C@@H](CC(C)C)CN1CCC3=CC(OC([2H])([2H])[2H])=C(OC([2H])([2H])[2H])C=C23
InChI
InChIKey=MKJIEFSOBYUXJB-WEZHFFAMSA-N
InChI=1S/C19H27NO3/c1-12(2)7-14-11-20-6-5-13-8-18(22-3)19(23-4)9-15(13)16(20)10-17(14)21/h8-9,12,14,16H,5-7,10-11H2,1-4H3/t14-,16-/m0/s1/i3D3,4D3
Molecular Formula | C19H27NO3 |
Molecular Weight | 323.4596 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
Deutetrabenazine (trade name Austedo) is a vesicular monoamine transporter 2 (VMAT2) inhibitor indicated for the treatment of chorea associated with Huntington’s disease. The drug was developed by Auspex Pharmaceuticals and is being commercialized by Teva Pharmaceuticals. Deutetrabenazine is a deuterated derivative of tetrabenazine. The incorporation of deuterium in place of hydrogen at the sites of primary metabolism results in metabolic clearance being slowed, allowing less frequent dosing and better tolerability.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: Q05940 Gene ID: 6571.0 Gene Symbol: SLC18A2 Target Organism: Homo sapiens (Human) |
3.8 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | AUSTEDO Approved UseAustedo® is indicated for the treatment of chorea associated with Huntington’s disease Launch Date2017 |
|||
Primary | AUSTEDO Approved UseAustedo® is indicated for the treatment of tardive dyskinesia in adults Launch Date2017 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.3 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/32155315 |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
DEUTETRABENAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.26 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/32155315 |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
DEUTETRABENAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
12 mg 2 times / day multiple, oral Recommended Dose: 12 mg, 2 times / day Route: oral Route: multiple Dose: 12 mg, 2 times / day Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
unhealthy, 18 to 75 years n = 298 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 18 to 75 years Sex: M+F Population Size: 298 Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
Disc. AE: Suicidal ideation, Sudden cardiac death... AEs leading to discontinuation/dose reduction: Suicidal ideation Sources: Page: 209885Orig1s000MedR.pdf - p.116Sudden cardiac death |
18 mg 2 times / day multiple, oral Recommended Dose: 18 mg, 2 times / day Route: oral Route: multiple Dose: 18 mg, 2 times / day Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
unhealthy, 18 to 75 years n = 298 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 18 to 75 years Sex: M+F Population Size: 298 Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
Disc. AE: Insomnia, Cardio-respiratory arrest... AEs leading to discontinuation/dose reduction: Insomnia Sources: Page: 209885Orig1s000MedR.pdf - p.116Cardio-respiratory arrest Psychomotor hyperactivity |
6 mg 2 times / day multiple, oral Recommended Dose: 6 mg, 2 times / day Route: oral Route: multiple Dose: 6 mg, 2 times / day Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
unhealthy, 18 to 75 years n = 298 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 18 to 75 years Sex: M+F Population Size: 298 Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
Disc. AE: QT prolonged, Vesicular rash... AEs leading to discontinuation/dose reduction: QT prolonged Sources: Page: 209885Orig1s000MedR.pdf - p.116Vesicular rash Psychotic disorder Schizophrenia exacerbated |
15 mg 2 times / day multiple, oral (mean) Recommended Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
unhealthy, 25 to 75 years n = 58 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 25 to 75 years Population Size: 58 Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
Disc. AE: Confusional state... AEs leading to discontinuation/dose reduction: Confusional state Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
12 mg 2 times / day multiple, oral Recommended Dose: 12 mg, 2 times / day Route: oral Route: multiple Dose: 12 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.33 |
unhealthy, 32 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 32 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.33 |
Disc. AE: Mental status changes... AEs leading to discontinuation/dose reduction: Mental status changes (grade 3, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.33 |
21 mg 2 times / day multiple, oral Dose: 21 mg, 2 times / day Route: oral Route: multiple Dose: 21 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.34 |
unhealthy, 44 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 44 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.34 |
Disc. AE: Depression... AEs leading to discontinuation/dose reduction: Depression (grade 1, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.34 |
12 mg 2 times / day multiple, oral Recommended Dose: 12 mg, 2 times / day Route: oral Route: multiple Dose: 12 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.22 |
unhealthy, 49 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 49 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.22 |
Disc. AE: Hypersomnia... AEs leading to discontinuation/dose reduction: Hypersomnia (grade 2, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.22 |
18 mg 2 times / day multiple, oral Recommended Dose: 18 mg, 2 times / day Route: oral Route: multiple Dose: 18 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.35 |
unhealthy, 49 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 49 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.35 |
Disc. AE: Depression... AEs leading to discontinuation/dose reduction: Depression (grade 2, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.35 |
27 mg 2 times / day multiple, oral Dose: 27 mg, 2 times / day Route: oral Route: multiple Dose: 27 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.25 |
unhealthy, 51 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 51 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.25 |
Disc. AE: Communication disorder... AEs leading to discontinuation/dose reduction: Communication disorder (grade 2, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.25 |
18 mg 2 times / day multiple, oral Recommended Dose: 18 mg, 2 times / day Route: oral Route: multiple Dose: 18 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.32 |
unhealthy, 53 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 53 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.32 |
Disc. AE: Major depression... AEs leading to discontinuation/dose reduction: Major depression (grade 3, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.32 |
24 mg 2 times / day multiple, oral Dose: 24 mg, 2 times / day Route: oral Route: multiple Dose: 24 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.29 |
unhealthy, 53 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 53 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.29 |
Disc. AE: Suicidal ideation... AEs leading to discontinuation/dose reduction: Suicidal ideation (grade 1, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.29 |
27 mg 2 times / day multiple, oral Dose: 27 mg, 2 times / day Route: oral Route: multiple Dose: 27 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.26 |
unhealthy, 54 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 54 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.26 |
Disc. AE: Cognitive disorder... AEs leading to discontinuation/dose reduction: Cognitive disorder (grade 2, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.26 |
27 mg 2 times / day multiple, oral Dose: 27 mg, 2 times / day Route: oral Route: multiple Dose: 27 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.22 |
unhealthy, 56 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 56 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.22 |
Disc. AE: Dysphagia... AEs leading to discontinuation/dose reduction: Dysphagia (grade 2, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.22 |
9 mg 2 times / day multiple, oral Dose: 9 mg, 2 times / day Route: oral Route: multiple Dose: 9 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.24 |
unhealthy, 56 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 56 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.24 |
Disc. AE: Sudden cardiac death... AEs leading to discontinuation/dose reduction: Sudden cardiac death (grade 3, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.24 |
21 mg 2 times / day multiple, oral Dose: 21 mg, 2 times / day Route: oral Route: multiple Dose: 21 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.31 |
unhealthy, 60 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 60 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.31 |
Disc. AE: Paranoia... AEs leading to discontinuation/dose reduction: Paranoia (grade 2, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.31 |
27 mg 2 times / day multiple, oral Dose: 27 mg, 2 times / day Route: oral Route: multiple Dose: 27 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.27 |
unhealthy, 60 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 60 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.27 |
Disc. AE: Chorea... AEs leading to discontinuation/dose reduction: Chorea (grade 2, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.27 |
15 mg 2 times / day multiple, oral Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.28 |
unhealthy, 61 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 61 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.28 |
Disc. AE: Chorea... AEs leading to discontinuation/dose reduction: Chorea (grade 3, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.28 |
21 mg 2 times / day multiple, oral Dose: 21 mg, 2 times / day Route: oral Route: multiple Dose: 21 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.30 |
unhealthy, 62 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 62 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.30 |
Disc. AE: Anxiety... AEs leading to discontinuation/dose reduction: Anxiety (grade 2, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.30 |
36 mg 2 times / day multiple, oral Highest studied dose Dose: 36 mg, 2 times / day Route: oral Route: multiple Dose: 36 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.36 |
unhealthy, 71 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 71 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.36 |
Disc. AE: Failure to thrive... AEs leading to discontinuation/dose reduction: Failure to thrive (grade 3, 0.8%) Sources: Page: 208082Orig1s000MedR.pdf - p.36 |
15 mg 2 times / day multiple, oral (mean) Recommended Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
unhealthy, mean age 5.59 years n = 202 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: mean age 5.59 years Sex: M+F Population Size: 202 Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
Disc. AE: Somnolence, Disturbance in attention... AEs leading to discontinuation/dose reduction: Somnolence (0.3%) Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5Disturbance in attention (0.3%) Anxiety (0.7%) Insomnia (0.3%) Depression (0.7%) Suicide attempt (0.3%) Homicidal ideation (0.3%) Fatigue (0.3%) Asthenia (0.3%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Sudden cardiac death | Disc. AE | 12 mg 2 times / day multiple, oral Recommended Dose: 12 mg, 2 times / day Route: oral Route: multiple Dose: 12 mg, 2 times / day Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
unhealthy, 18 to 75 years n = 298 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 18 to 75 years Sex: M+F Population Size: 298 Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
Suicidal ideation | Disc. AE | 12 mg 2 times / day multiple, oral Recommended Dose: 12 mg, 2 times / day Route: oral Route: multiple Dose: 12 mg, 2 times / day Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
unhealthy, 18 to 75 years n = 298 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 18 to 75 years Sex: M+F Population Size: 298 Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
Cardio-respiratory arrest | Disc. AE | 18 mg 2 times / day multiple, oral Recommended Dose: 18 mg, 2 times / day Route: oral Route: multiple Dose: 18 mg, 2 times / day Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
unhealthy, 18 to 75 years n = 298 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 18 to 75 years Sex: M+F Population Size: 298 Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
Insomnia | Disc. AE | 18 mg 2 times / day multiple, oral Recommended Dose: 18 mg, 2 times / day Route: oral Route: multiple Dose: 18 mg, 2 times / day Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
unhealthy, 18 to 75 years n = 298 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 18 to 75 years Sex: M+F Population Size: 298 Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
Psychomotor hyperactivity | Disc. AE | 18 mg 2 times / day multiple, oral Recommended Dose: 18 mg, 2 times / day Route: oral Route: multiple Dose: 18 mg, 2 times / day Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
unhealthy, 18 to 75 years n = 298 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 18 to 75 years Sex: M+F Population Size: 298 Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
Psychotic disorder | Disc. AE | 6 mg 2 times / day multiple, oral Recommended Dose: 6 mg, 2 times / day Route: oral Route: multiple Dose: 6 mg, 2 times / day Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
unhealthy, 18 to 75 years n = 298 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 18 to 75 years Sex: M+F Population Size: 298 Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
QT prolonged | Disc. AE | 6 mg 2 times / day multiple, oral Recommended Dose: 6 mg, 2 times / day Route: oral Route: multiple Dose: 6 mg, 2 times / day Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
unhealthy, 18 to 75 years n = 298 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 18 to 75 years Sex: M+F Population Size: 298 Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
Schizophrenia exacerbated | Disc. AE | 6 mg 2 times / day multiple, oral Recommended Dose: 6 mg, 2 times / day Route: oral Route: multiple Dose: 6 mg, 2 times / day Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
unhealthy, 18 to 75 years n = 298 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 18 to 75 years Sex: M+F Population Size: 298 Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
Vesicular rash | Disc. AE | 6 mg 2 times / day multiple, oral Recommended Dose: 6 mg, 2 times / day Route: oral Route: multiple Dose: 6 mg, 2 times / day Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
unhealthy, 18 to 75 years n = 298 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 18 to 75 years Sex: M+F Population Size: 298 Sources: Page: 209885Orig1s000MedR.pdf - p.116 |
Confusional state | Disc. AE | 15 mg 2 times / day multiple, oral (mean) Recommended Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
unhealthy, 25 to 75 years n = 58 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 25 to 75 years Population Size: 58 Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
Mental status changes | grade 3, 0.8% Disc. AE |
12 mg 2 times / day multiple, oral Recommended Dose: 12 mg, 2 times / day Route: oral Route: multiple Dose: 12 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.33 |
unhealthy, 32 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 32 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.33 |
Depression | grade 1, 0.8% Disc. AE |
21 mg 2 times / day multiple, oral Dose: 21 mg, 2 times / day Route: oral Route: multiple Dose: 21 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.34 |
unhealthy, 44 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 44 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.34 |
Hypersomnia | grade 2, 0.8% Disc. AE |
12 mg 2 times / day multiple, oral Recommended Dose: 12 mg, 2 times / day Route: oral Route: multiple Dose: 12 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.22 |
unhealthy, 49 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 49 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.22 |
Depression | grade 2, 0.8% Disc. AE |
18 mg 2 times / day multiple, oral Recommended Dose: 18 mg, 2 times / day Route: oral Route: multiple Dose: 18 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.35 |
unhealthy, 49 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 49 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.35 |
Communication disorder | grade 2, 0.8% Disc. AE |
27 mg 2 times / day multiple, oral Dose: 27 mg, 2 times / day Route: oral Route: multiple Dose: 27 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.25 |
unhealthy, 51 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 51 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.25 |
Major depression | grade 3, 0.8% Disc. AE |
18 mg 2 times / day multiple, oral Recommended Dose: 18 mg, 2 times / day Route: oral Route: multiple Dose: 18 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.32 |
unhealthy, 53 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 53 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.32 |
Suicidal ideation | grade 1, 0.8% Disc. AE |
24 mg 2 times / day multiple, oral Dose: 24 mg, 2 times / day Route: oral Route: multiple Dose: 24 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.29 |
unhealthy, 53 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 53 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.29 |
Cognitive disorder | grade 2, 0.8% Disc. AE |
27 mg 2 times / day multiple, oral Dose: 27 mg, 2 times / day Route: oral Route: multiple Dose: 27 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.26 |
unhealthy, 54 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 54 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.26 |
Dysphagia | grade 2, 0.8% Disc. AE |
27 mg 2 times / day multiple, oral Dose: 27 mg, 2 times / day Route: oral Route: multiple Dose: 27 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.22 |
unhealthy, 56 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 56 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.22 |
Sudden cardiac death | grade 3, 0.8% Disc. AE |
9 mg 2 times / day multiple, oral Dose: 9 mg, 2 times / day Route: oral Route: multiple Dose: 9 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.24 |
unhealthy, 56 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 56 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.24 |
Paranoia | grade 2, 0.8% Disc. AE |
21 mg 2 times / day multiple, oral Dose: 21 mg, 2 times / day Route: oral Route: multiple Dose: 21 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.31 |
unhealthy, 60 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 60 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.31 |
Chorea | grade 2, 0.8% Disc. AE |
27 mg 2 times / day multiple, oral Dose: 27 mg, 2 times / day Route: oral Route: multiple Dose: 27 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.27 |
unhealthy, 60 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 60 years Sex: F Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.27 |
Chorea | grade 3, 0.8% Disc. AE |
15 mg 2 times / day multiple, oral Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.28 |
unhealthy, 61 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 61 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.28 |
Anxiety | grade 2, 0.8% Disc. AE |
21 mg 2 times / day multiple, oral Dose: 21 mg, 2 times / day Route: oral Route: multiple Dose: 21 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.30 |
unhealthy, 62 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 62 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.30 |
Failure to thrive | grade 3, 0.8% Disc. AE |
36 mg 2 times / day multiple, oral Highest studied dose Dose: 36 mg, 2 times / day Route: oral Route: multiple Dose: 36 mg, 2 times / day Sources: Page: 208082Orig1s000MedR.pdf - p.36 |
unhealthy, 71 years n = 119 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: 71 years Sex: M Population Size: 119 Sources: Page: 208082Orig1s000MedR.pdf - p.36 |
Asthenia | 0.3% Disc. AE |
15 mg 2 times / day multiple, oral (mean) Recommended Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
unhealthy, mean age 5.59 years n = 202 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: mean age 5.59 years Sex: M+F Population Size: 202 Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
Disturbance in attention | 0.3% Disc. AE |
15 mg 2 times / day multiple, oral (mean) Recommended Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
unhealthy, mean age 5.59 years n = 202 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: mean age 5.59 years Sex: M+F Population Size: 202 Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
Fatigue | 0.3% Disc. AE |
15 mg 2 times / day multiple, oral (mean) Recommended Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
unhealthy, mean age 5.59 years n = 202 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: mean age 5.59 years Sex: M+F Population Size: 202 Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
Homicidal ideation | 0.3% Disc. AE |
15 mg 2 times / day multiple, oral (mean) Recommended Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
unhealthy, mean age 5.59 years n = 202 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: mean age 5.59 years Sex: M+F Population Size: 202 Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
Insomnia | 0.3% Disc. AE |
15 mg 2 times / day multiple, oral (mean) Recommended Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
unhealthy, mean age 5.59 years n = 202 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: mean age 5.59 years Sex: M+F Population Size: 202 Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
Somnolence | 0.3% Disc. AE |
15 mg 2 times / day multiple, oral (mean) Recommended Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
unhealthy, mean age 5.59 years n = 202 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: mean age 5.59 years Sex: M+F Population Size: 202 Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
Suicide attempt | 0.3% Disc. AE |
15 mg 2 times / day multiple, oral (mean) Recommended Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
unhealthy, mean age 5.59 years n = 202 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: mean age 5.59 years Sex: M+F Population Size: 202 Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
Anxiety | 0.7% Disc. AE |
15 mg 2 times / day multiple, oral (mean) Recommended Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
unhealthy, mean age 5.59 years n = 202 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: mean age 5.59 years Sex: M+F Population Size: 202 Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
Depression | 0.7% Disc. AE |
15 mg 2 times / day multiple, oral (mean) Recommended Dose: 15 mg, 2 times / day Route: oral Route: multiple Dose: 15 mg, 2 times / day Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
unhealthy, mean age 5.59 years n = 202 Health Status: unhealthy Condition: Tardive dyskinesia Age Group: mean age 5.59 years Sex: M+F Population Size: 202 Sources: Page: 209885Orig1s000OtherR.pdf - p.28 | 209885Orig1s000SumR.pdf - p.5 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Drug as victim
PubMed
Title | Date | PubMed |
---|---|---|
Breakthrough drugs for the interface between psychiatry and neurology. | 2016 Apr |
|
Effect of Deutetrabenazine on Chorea Among Patients With Huntington Disease: A Randomized Clinical Trial. | 2016 Jul 5 |
|
Deutetrabenazine for Treatment of Chorea in Huntington Disease. | 2016 Jul 5 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/pro/austedo.html
The dose of Austedo is determined individually for each patient based on the reduction of chorea or tardive dyskinesia and tolerability. When first prescribed to patients who are not being switched from tetrabenazine (a related VMAT2 inhibitor), the recommended starting dose of Austedo is 6 mg administered orally once daily for patients with Huntington’s disease and 12 mg per day (6 mg twice daily) for patients with tardive dyskinesia.
Route of Administration:
Oral
The in vitro binding affinity for the active metabolites of tetrabenazine (α- and β- dihydrotetrabenazine) and the deuterated versions of these metabolites to the vesicular monoamine transporter 2 (VMAT2) was examined in competitive binding assays. Deuterated α-dihydrotetrabenazine binds to VMAT2 with Ki of 3.8 nM, non-deuterated α-dihydrotetrabenazine binds with Ki of 3.1 nM.
Substance Class |
Chemical
Created
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Record UNII |
P341G6W9NB
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FDA ORPHAN DRUG |
383212
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FDA ORPHAN DRUG |
442314
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