Tardive DyskinesiaPhase 2/3NCT03176771
Efficacy and Safety of MT-5199 in Subjects With Tardive Dyskinesia
A Phase 2/3 study testing MT-5199 in people with Tardive Dyskinesia, run by Tanabe Pharma Corporation at 82 sites in Japan.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of MT-5199 administered once daily for the treatment of Tardive Dyskinesia (TD) symptoms. Read more about this study
- Who is it for?
- Ages 20 to 85 years
- Conditions the study is for
- Tardive Dyskinesia
- What is being tested?
- MT-5199
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 256 participants
- Where
- 82 sitesJapan
- Study dates
- 21 Jun 2017to 29 Sep 2020
- Phase
- Phase 2/3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have one of the following clinical diagnoses for at least 3 months prior to screening: Schizophrenia or Schizoaffective Disorder, Bipolar Disorder, or Depressive Disorders.
- Have a clinical diagnosis of neuroleptic-induced TD.
- Have moderate or severe TD.
- If using maintenance medication(s) for schizophrenia or schizoaffective disorder, or bipolar disorder, or depressive disorders, be on stable doses.
Who cannot join
- Have an active, clinically significant unstable medical condition in screening period.
- Have a significant risk of suicidal or violent behavior.
- Have a known history of long QT syndrome or cardiac tachy-arrhythmia.
- Are currently pregnant or breastfeeding.
Trial locations and contacts
82 sites in 1 country.
82 sites in 1 country
Japan82 sites
Aichi Psychiatric Medical Center
Aichi
Hotei Hospital
Aichi
Mikawa Hospital
Aichi
Okehazama Hospital Fujita Kokoro Care Center
Aichi
Akita City Hospital
Akita
Akita University Hospital
Akita
Hirosaki Aiseikai Hospital
Aomori
Minato Hospital
Aomori
Seinan Hospital
Aomori
Kohnodai Hospital , National Center for Global Health and Medicine
Chiba
National Hospital Organization Shimofusa Psychiatric Medical Center
Chiba
General incorporated association Shinkoukai Shinkouen
Ehime
Chikusuikai Hospital
Fukuoka
Fukuoka University Hospital
Fukuoka
Hirota Clinic
Fukuoka
Iizukakinen Hospital
Fukuoka
Kuramitsu Hospital
Fukuoka
Minamigaoka Hospital
Fukuoka
Yahata Kousei Hospital
Fukuoka
Nanko Kokorono Clinic
Fukushima
Takeda General Hospital
Fukushima
Holy Cross Hospital
Gifu
Seimou Hospital
Gunma
Hayakawa Clinic
Hiroshima
Kamo Psychiatric Center
Hiroshima
Medical corporation KOSEIKAI KUSATSU HOSPITAL
Hiroshima
Mihara Hospital
Hiroshima
Hayashishita Hospital
Hokkaido
Ishikane Hospital
Hokkaido
National Hospital Organization Hokkaido Medical Center
Hokkaido
Obihiro-Kosei General Hospital
Hokkaido
Sapporo City General Hospital
Hokkaido
Teine Hospital
Hokkaido
Hyogo prefecture - Hyogo Mental Health Center
Hyōgo
Kobe University Hospital
Hyōgo
Medical corporation Shouhokai Toda Internal Medicine and Rehabilitation Department
Hyōgo
Awazu Neuropsychiatric Sanatorium
Ishikawa
Ishiki Hospital
Kagoshima
Minami Kyushu Sakura Hospital
Kagoshima
Taniyama Hospital
Kagoshima
Fujimidai Hospital
Kanagawa
Hatano Kosei Hospital
Kanagawa
Hino Hospital
Kanagawa
Kishiro Mental Clinic
Kanagawa
Kitaodawara Hospital Meihoukai Medical Corporation Association
Kanagawa
Shiunkai Yokohama Hospital
Kanagawa
Soushu Hospital
Kanagawa
Yatsushirokosei Hospital
Kumamoto
Yuge Hospital
Kumamoto
Sagaarashiyama Tanaka Clinic
Kyoto
Miyagi Psychiatric Center
Miyagi
Yasuda Hospital
Miyagi
National Hospital Organization Komoro kogen Hospital
Nagano
North Alps Medical Center Azumi Hospital
Nagano
Syonan Hospital
Nagano
Sanwa Central Hospital
Nagasaki
Nara Medical University Hospital
Nara
Hoaki Hospital
Ōita
Akari Clinic
Okinawa
Arakaki Hospital
Okinawa
Samariya Hospital
Okinawa
Keihan Hospital
Osaka
Kyowakai Healthcare Corpration Hannan Hospital
Osaka
Hizen Psychiatric Center
Saga
Rainbow & Sea Hospital
Saga
Sho Midori Hospital
Saitama
Shiga University of Medical Science Hospital
Shiga
Shimane University Hospital
Shimane
Numazu Chuo Hospital
Shizuoka
Abe Clinic
Tokyo
Hozumi Clinic
Tokyo
Kyorin University Hospital
Tokyo
Maynds Tower Mental Clinic
Tokyo
National Center of Neurology and Psychiatry
Tokyo
Nishigahara Hospital
Tokyo
Ongata Hospital
Tokyo
Sangenjaya Neurology-Psychosomatic Clinic
Tokyo
Senzoku Mental Clinic
Tokyo
Kawada Hospital
Toyama
Minamitoyama Nakagawa Hospital
Toyama
Public Okitama General Hospital
Yamagata
National Hospital Organization Kanmon Medical Center
Yamaguchi
About this study
Official title: A Double-Blind, Randomized, Multicenter, Placebo-Controlled, Parallel, Fixed-Dose Study to Evaluate the Efficacy and Safety of MT-5199 for the Treatment in Patients With Tardive Dyskinesia (J-KINECT)
The purpose of this study is to evaluate the efficacy and safety of MT-5199 administered once daily for the treatment of Tardive Dyskinesia (TD) symptoms.
- Conditions
- Tardive Dyskinesia
- Being tested
- MT-5199, Placebo
- Medical subject headings
- Tardive Dyskinesia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MT-5199Drug
MT-5199 40 mg capsules
PlaceboDrug
MT-5199 placebo capsules
| Study group | Role | What they receive |
|---|---|---|
| MT-5199 40 mg (Double-Blind Placebo-Controlled Period) | Experimental | MT-5199 administered as one (1) 40 mg capsule and one (1) placebo capsule, taken by mouth, every morning for 6 weeks. Receives: Drug: MT-5199; Drug: Placebo |
| MT-5199 80 mg (Double-Blind Placebo-Controlled Period) | Experimental | Subjects randomized to the MT-5199 80 mg dose will receive MT-5199 40 mg for the first week (administered as one (1) 40 mg capsule and one (1) placebo capsule), followed by MT-5199 80 mg administered as two (2) 40 mg capsules, taken by mouth, every morning for 5 weeks. Receives: Drug: MT-5199; Drug: Placebo |
| Placebo (Double-Blind Placebo-Controlled Period) | Experimental | Placebo administered as two (2) placebo capsules, taken by mouth, every morning for 6 weeks. Receives: Drug: Placebo |
| MT-5199 40 mg (Double-Blind Extension Period) | Experimental | At the end of Week 6, subjects will enter a double-blind extension period for 42 weeks. Subjects who were initially randomized to placebo will be re-randomized (1:1) to receive either MT-5199 40 mg or 80 mg and subjects initially randomized to MT-5199 will continue with their current dose. Receives: Drug: MT-5199; Drug: Placebo |
| MT-5199 80 mg (Double-Blind Extension Period) | Experimental | At the end of Week 6, subjects will enter a double-blind extension period for 42 weeks. Subjects who were initially randomized to placebo will be re-randomized (1:1) to receive either MT-5199 40 mg or 80 mg and subjects initially randomized to MT-5199 will continue with their current dose. Subjects re-randomized to receive MT-5199 80 mg will receive 40 mg for the first week. Receives: Drug: MT-5199; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Total Score (Central Assessment) at Week 6
Severity of TD symptoms assessed by AIMS dyskinesia total score (sum of items 1 through 7), as assessed by blinded central AIMS raters. The AIMS Total Dyskinesia Score rates a total of 7 items, rating involuntary movement from 0 (no dyskinesia) to 4 (severe dyskinesia). Items 1 through 7 include facial and oral movements (Items 1-4), extremity movements (Items 5-6), and trunk movements (Item 7). The AIMS dyskinesia total score for Items 1-7 ranges from 0 to 28; a higher score reflects increased severity.
Measured: Baseline and Week 6
Secondary outcomes (3)
Percentage of Subjects With a ≥50% Improvement From Baseline in the AIMS Total Score (Central Assessment) at Week 6 (AIMS Responder)
Percentage of AIMS responders (subjects who had at least a 50 percent reduction in AIMS score from baseline)
Measured: Week 6
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Total Score (Site Assessment) at Week 6
Severity of TD symptoms assessed by AIMS dyskinesia total score (sum of items 1 through 7), as assessed by blinded site AIMS raters. The AIMS Total Dyskinesia Score rates a total of 7 items, rating involuntary movement from 0 (no dyskinesia) to 4 (severe dyskinesia). Items 1 through 7 include facial and oral movements (Items 1-4), extremity movements (Items 5-6), and trunk movements (Item 7). The AIMS dyskinesia total score for Items 1-7 ranges from 0 to 28; a higher score reflects increased severity.
Measured: Baseline and Week 6
Clinical Global Impression of Change - TD (CGI-TD) Score at Week 6
Clinician's perspective of the participant's overall improvement of TD symptoms over time. The CGI-TD is based on a 7-point scale (range: 1=very much improved to 7=very much worse).
Measured: Week 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jun 2017
- Study start21 Jun 2017
- Primary completion29 Sep 2020
- Study completion29 Sep 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Tardive DyskinesiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 256 participants (actual)
Sponsor and investigators
- Lead sponsor
- Tanabe Pharma Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- General Manager, Study director, Tanabe Pharma Corporation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03176771
- Sponsor's protocol ID
- MT-5199-J02
- Status last verified
- Dec 2025
- First submitted
- 2 Jun 2017
- Last updated
- 7 Jan 2026
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Horiguchi J, Watanabe K, Kondo K, Iwatake A, Sakamoto H, Susuta Y, Masui H, Watanabe Y. Efficacy and safety of valbenazine in Japanese patients with tardive dyskinesia: A multicenter, randomized, double-blind, placebo-controlled study (J-KINECT). Psychiatry Clin Neurosci. 2022 Nov;76(11):560-569. doi: 10.1111/pcn.13455. Epub 2022 Sep 17.
PubMed 36114799Watanabe Y, Susuta Y, Nagano M, Masui H, Kanahara N. Efficacy and Safety of Valbenazine in Elderly and Nonelderly Japanese Patients With Tardive Dyskinesia: A Post Hoc Analysis of the J-KINECT Study. J Clin Psychopharmacol. 2024 Nov-Dec;44(6):551-560. doi: 10.1097/JCP.0000000000001903. Epub 2024 Aug 27.
PubMed 39186921Nagano M, Susuta Y, Masui H, Watanabe Y, Watanabe K. Efficacy and Safety of Valbenazine in Japanese Patients With Tardive Dyskinesia and Schizophrenia/Schizoaffective Disorder or Bipolar Disorder/Depressive Disorder: Primary Results and Post Hoc Analyses of the J-KINECT Study. J Clin Psychopharmacol. 2024 Mar-Apr 01;44(2):107-116. doi: 10.1097/JCP.0000000000001811.
PubMed 38421921
Study at a glance
From the registry record, last updated by the sponsor on 7 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double-Blind, Randomized, Multicenter, Placebo-Controlled, Parallel, Fixed-Dose Study to Evaluate the Efficacy and Safety of MT-5199 for the Treatment in Patients With Tardive Dyskinesia (J-KINECT)
- ClinicalTrials.gov ID
- NCT03176771
- Acronym / sponsor ID
- MT-5199-J02
- Conditions
- Tardive Dyskinesia
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 256 participants (actual)
- Lead sponsor
- Tanabe Pharma CorporationIndustry (pharma, biotech, devices)
- Study start
- 21 Jun 2017 (actual)
- Primary completion
- 29 Sep 2020 (actual)
- Study completion
- 29 Sep 2020 (actual)
- First posted
- 5 Jun 2017 (actual)
- Results
- Posted 14 Aug 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy and safety of MT-5199 administered once daily for the treatment of Tardive Dyskinesia (TD) symptoms.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| MT-5199 40 mg (Double-Blind Placebo-Controlled Period) | Experimental | Drug: MT-5199, Drug: PlaceboMT-5199 administered as one (1) 40 mg capsule and one (1) placebo capsule, taken by mouth, every morning for 6 weeks. |
| MT-5199 80 mg (Double-Blind Placebo-Controlled Period) | Experimental | Drug: MT-5199, Drug: PlaceboSubjects randomized to the MT-5199 80 mg dose will receive MT-5199 40 mg for the first week (administered as one (1) 40 mg capsule and one (1) placebo capsule), followed by MT-5199 80 mg administered as two (2) 40 mg capsules, taken by mouth, every morning for 5 weeks. |
| Placebo (Double-Blind Placebo-Controlled Period) | Experimental | Drug: PlaceboPlacebo administered as two (2) placebo capsules, taken by mouth, every morning for 6 weeks. |
| MT-5199 40 mg (Double-Blind Extension Period) | Experimental | Drug: MT-5199, Drug: PlaceboAt the end of Week 6, subjects will enter a double-blind extension period for 42 weeks. Subjects who were initially randomized to placebo will be re-randomized (1:1) to receive either MT-5199 40 mg or 80 mg and subjects initially randomized to MT-5199 will continue with their current dose. |
| MT-5199 80 mg (Double-Blind Extension Period) | Experimental | Drug: MT-5199, Drug: PlaceboAt the end of Week 6, subjects will enter a double-blind extension period for 42 weeks. Subjects who were initially randomized to placebo will be re-randomized (1:1) to receive either MT-5199 40 mg or 80 mg and subjects initially randomized to MT-5199 will continue with their current dose. Subjects re-randomized to receive MT-5199 80 mg will receive 40 mg for the first week. |
Who may qualify
- Ages
- 20 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Have one of the following clinical diagnoses for at least 3 months prior to screening: Schizophrenia or Schizoaffective Disorder, Bipolar Disorder, or Depressive Disorders.
- Have a clinical diagnosis of neuroleptic-induced TD.
- Have moderate or severe TD.
- If using maintenance medication(s) for schizophrenia or schizoaffective disorder, or bipolar disorder, or depressive disorders, be on stable doses.
Key exclusion criteria (4 listed)
- Have an active, clinically significant unstable medical condition in screening period.
- Have a significant risk of suicidal or violent behavior.
- Have a known history of long QT syndrome or cardiac tachy-arrhythmia.
- Are currently pregnant or breastfeeding.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MT-5199MT-5199 40 mg capsules | Drug | MT-5199 40 mg (Double-Blind Extension Period), MT-5199 40 mg (Double-Blind Placebo-Controlled Period), MT-5199 80 mg (Double-Blind Extension Period), MT-5199 80 mg (Double-Blind Placebo-Controlled Period) |
| PlaceboMT-5199 placebo capsules | Drug | MT-5199 40 mg (Double-Blind Extension Period), MT-5199 40 mg (Double-Blind Placebo-Controlled Period), MT-5199 80 mg (Double-Blind Extension Period), MT-5199 80 mg (Double-Blind Placebo-Controlled Period), Placebo (Double-Blind Placebo-Controlled Period) |
Primary outcome
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Total Score (Central Assessment) at Week 6
Time frame: Baseline and Week 6
Severity of TD symptoms assessed by AIMS dyskinesia total score (sum of items 1 through 7), as assessed by blinded central AIMS raters. The AIMS Total Dyskinesia Score rates a total of 7 items, rating involuntary movement from 0 (no dyskinesia) to 4 (severe dyskinesia). Items 1 through 7 include facial and oral movements (Items 1-4), extremity movements (Items 5-6), and trunk movements (Item 7). The AIMS dyskinesia total score for Items 1-7 ranges from 0 to 28; a higher score reflects increased severity.
3 secondary outcomes
Percentage of Subjects With a ≥50% Improvement From Baseline in the AIMS Total Score (Central Assessment) at Week 6 (AIMS Responder)
Time frame: Week 6
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Total Score (Site Assessment) at Week 6
Time frame: Baseline and Week 6
Clinical Global Impression of Change - TD (CGI-TD) Score at Week 6
Time frame: Week 6
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jan 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 36114799Horiguchi J, Watanabe K, Kondo K, Iwatake A, Sakamoto H, Susuta Y, Masui H, Watanabe Y. Efficacy and safety of valbenazine in Japanese patients with tardive dyskinesia: A multicenter, randomized, double-blind, placebo-controlled study (J-KINECT). Psychiatry Clin Neurosci. 2022 Nov;76(11):560-569. doi: 10.1111/pcn.13455. Epub 2022 Sep 17.
- Derived from this study: PubMed 39186921Watanabe Y, Susuta Y, Nagano M, Masui H, Kanahara N. Efficacy and Safety of Valbenazine in Elderly and Nonelderly Japanese Patients With Tardive Dyskinesia: A Post Hoc Analysis of the J-KINECT Study. J Clin Psychopharmacol. 2024 Nov-Dec;44(6):551-560. doi: 10.1097/JCP.0000000000001903. Epub 2024 Aug 27.
- Derived from this study: PubMed 38421921Nagano M, Susuta Y, Masui H, Watanabe Y, Watanabe K. Efficacy and Safety of Valbenazine in Japanese Patients With Tardive Dyskinesia and Schizophrenia/Schizoaffective Disorder or Bipolar Disorder/Depressive Disorder: Primary Results and Post Hoc Analyses of the J-KINECT Study. J Clin Psychopharmacol. 2024 Mar-Apr 01;44(2):107-116. doi: 10.1097/JCP.0000000000001811.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
General Manager study director
Tanabe Pharma Corporation
82 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing MT-5199 in people with Tardive Dyskinesia, run by Tanabe Pharma Corporation at 82 sites in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 7 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 82 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 14 Aug 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Total Score (Central Assessment) at Week 6 (time frame: Baseline and Week 6). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03176771, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Jan 2026.