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Alternatives for Reducing Chorea in Huntington Disease

An Open-Label, Long Term Safety Study of SD-809 ER in Subjects With Chorea Associated With Huntington Disease

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01897896
Acronym
ARC-HD
Enrollment
119
Registered
2013-07-12
Start date
2013-11-12
Completion date
2017-08-21
Last updated
2021-11-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chorea Associated With Huntington Disease

Keywords

Chorea, Huntington Disease

Brief summary

The purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics of SD-809 extended release (ER) in participants switching from tetrabenazine to SD-809 ER. In addition, the safety and tolerability of long-term treatment with SD-809 ER will be assessed in Switch participants as well as Rollover participants completing a randomized, double blind, placebo-controlled study of SD-809 ER.

Interventions

DRUGSD-809

SD-809 tablets will be provided in dose strengths of 6, 9 and 12 mg.

Sponsors

Auspex Pharmaceuticals, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Participant is at least 18 years of age or the age of majority (whichever is older) at Screening. * Participant has been diagnosed with manifest HD, as indicated by characteristic motor exam features, and has a documented expanded cytosine adenine guanine (CAG) repeat (greater than or equal to \>= \[37\]) at or before Screening. * Participant meets either of the following: 1. Has successfully completed participation in the First-HD Study (SD-809-C-15) or 2. Has been receiving an Food and Drug Administration (FDA)-approved dose of tetrabenazine that has been stable for \>=8 weeks before Screening and is providing a therapeutic benefit for control of chorea. * Participant has a Total Functional Capacity (TFC) score \>=5 at Screening. * Participant is able to swallow study medication whole. * Participant has provided written, informed consent or, a legally authorized representative (LAR) has provided written informed consent and the subject has provided assent. * Participant has provided a Research Advance Directive. * Female participants of childbearing potential agree to use an acceptable method of contraception from screening through study completion. * The participant has a reliable caregiver who interacts with the participant on a daily basis, oversees study drug administration, assures attendance at study visits and participates in evaluations, as required. * Participant is able to ambulate without assistance for at least 20 yards (Note: The use of assistive devices (such as; walker, cane) are permitted during ambulation). * Has sufficient reading skills to comprehend the participant completed rating scales.

Exclusion criteria

* Participant has a serious untreated or under-treated psychiatric illness, such as depression, at Screening or Baseline. * Participant has active suicidal ideation at Screening or Baseline. * Participant has history of suicidal behavior at Screening or Baseline. * Participant has evidence for depression at Baseline. * Participant has an unstable or serious medical illness at Screening or Baseline. * Participant has received tetrabenazine within 7 days of Baseline (Rollover participants only). * Participant has received any of the following concomitant medications within 30 days of Screening or Baseline: Antipsychotics, Metoclopramide, Monoamine oxidase inhibitors (MAOI), Levodopa or dopamine agonists, Reserpine, Amantadine, Memantine (Rollover participants only) * Switch participants may receive Memantine if on a stable, approved dose for at least 30 days * Participant has significantly impaired swallowing function at Screening or Baseline. * Participant has significantly impaired speaking at Screening or Baseline. * Participant requires treatment with drugs known to prolong the QT interval. * Participant has prolonged QT interval on 12-lead electrocardiogram (ECG) at Screening. * Participant has evidence of hepatic impairment at Screening. * Participant has evidence of significant renal impairment at Screening. * Participant has known allergy to any of the components of study medication. * Participant has participated in an investigational drug or device trial other than SD-809-C-15 within 30 days (or 5 drug half-lives) of Screening, whichever is longer. * Participant is pregnant or breast-feeding at Screening or Baseline. * Participant acknowledges present use of illicit drugs at Screening or Baseline. * Participant has a history of alcohol or substance abuse in the previous 12 months.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment PeriodBaseline to follow-up visit (up to approximately 3 years 9 months)An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AE=inability to carry out usual activities. Drug-related TEAEs: TEAEs with possible, probable, definite, or missing relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: events that 1) began after treatment with study drug in current study and that were not present at baseline or 2) if present at baseline, had worsened in severity. Any TEAEs included both serious and non-serious TEAEs. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Rollover Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During TitrationDay 1 to end of Week 8An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AEs=inability to carry out usual activities. Drug-related TEAEs: TEAEs with a possible, probable, definite, or missing relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: events that 1) began after treatment with study drug in current study and that were not present at baseline or 2) if present at baseline, had worsened in severity. Any TEAEs included both serious and non-serious TEAEs. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Switch Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Dose AdjustmentDay 1 to end of Week 4An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AEs=inability to carry out usual activities. Drug-related TEAEs: TEAEs with a possible, probable, definite, or missing relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: events that 1) began after treatment with study drug in current study and that were not present at baseline or 2) if present at baseline, had worsened in severity. Any TEAEs included both serious and non-serious TEAEs. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose TreatmentWeek 8 to follow-up visit (up to approximately 3 years 9 months)An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AEs=inability to carry out usual activities. Drug-related TEAEs: TEAEs with a possible, probable, definite, or missing relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: events that 1) began after treatment with study drug in current study and that were not present at baseline or 2) if present at baseline, had worsened in severity. Any TEAEs included both serious and non-serious TEAEs. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Secondary

MeasureTime frameDescription
Change From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Baseline, Week 158Clinical laboratory hematology parameters included basophils, eosinophils, leukocytes, lymphocytes, monocytes, neutrophils, platelets, erythrocytes mean corpuscular volume, erythrocytes, hematocrit, and hemoglobin. Change from baseline in basophils, eosinophils, leukocytes, lymphocytes, monocytes, neutrophils and platelets cells at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed values at Week 158 were used to calculate the change from baseline value at Week 158.
Change From Baseline in Clinical Laboratory Hematology Parameter (Erythrocytes Mean Corpuscular Volume) at Week 158Baseline, Week 158Clinical laboratory hematology parameters included basophils, eosinophils, leukocytes, lymphocytes, monocytes, neutrophils, platelets, erythrocytes mean corpuscular volume, erythrocytes, hematocrit, and hemoglobin. Change from baseline in erythrocytes mean corpuscular volume at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.
Change From Baseline in Clinical Laboratory Hematology Parameter (Erythrocytes) at Week 158Baseline, Week 158Clinical laboratory hematology parameters included basophils, eosinophils, leukocytes, lymphocytes, monocytes, neutrophils, platelets, erythrocytes mean corpuscular volume, erythrocytes, hematocrit, and hemoglobin. Change from baseline in erythrocytes at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.
Change From Baseline in Clinical Laboratory Hematology Parameter (Hematocrit) at Week 158Baseline, Week 158Clinical laboratory hematology parameters included basophils, eosinophils, leukocytes, lymphocytes, monocytes, neutrophils, platelets, erythrocytes mean corpuscular volume, erythrocytes, hematocrit, and hemoglobin. Hematocrit levels were calculated as the ratio of the volume of red cells to the volume of whole blood. Change from baseline in hematocrit at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.
Change From Baseline in Clinical Laboratory Hematology Parameter (Hemoglobin) at Week 158Baseline, Week 158Clinical laboratory hematology parameters included basophils, eosinophils, leukocytes, lymphocytes, monocytes, neutrophils, platelets, erythrocytes mean corpuscular volume, erythrocytes, hematocrit, and hemoglobin. Change from baseline in hemoglobin at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.
Change From Baseline in Clinical Laboratory Serum Chemistry Parameters (Alanine Aminotransferase and Alkaline Phosphatase) at Week 158Baseline, Week 158Clinical laboratory serum chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium, triglycerides, protein, albumin, creatinine clearance, bilirubin, creatinine, direct bilirubin, and urate. Change from baseline in alanine aminotransferase and alkaline phosphatase at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.
Change From Baseline in Clinical Laboratory Serum Chemistry Parameters (Aspartate Aminotransferase and Lactate Dehydrogenase) at Week 158Baseline, Week 158Clinical laboratory serum chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium, triglycerides, protein, albumin, creatinine clearance, bilirubin, creatinine, direct bilirubin, and urate. Change from baseline in aspartate aminotransferase and lactate dehydrogenase at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.
Electrocardiogram (ECG) Parameter Value (Heart Rate) at Baseline and Week 8Baseline, Week 8ECG parameters included heart rate, PR interval, QRS duration, QT interval and Fridericia's corrected QT interval (QTcF). Heart rate measured by ECG at Baseline and Week 8 is reported in this outcome measure.
ECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8Baseline, Week 8ECG parameters included heart rate, PR interval, QRS duration, QT interval and QTcF. PR interval, QRS duration, QT interval and QTcF at Baseline and Week 8 is reported in this outcome measure.
Change From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Baseline, Week 158Clinical laboratory serum chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium, triglycerides, protein, albumin, creatinine clearance, bilirubin, creatinine, direct bilirubin, and urate. Change from baseline in bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium and triglycerides at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.
Change From Baseline in Clinical Laboratory Serum Chemistry Parameters (Protein and Albumin) at Week 158Baseline, Week 158Clinical laboratory serum chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium, triglycerides, protein, albumin, creatinine clearance, bilirubin, creatinine, direct bilirubin, and urate. Change from baseline in protein and albumin at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.
Change From Baseline in Clinical Laboratory Serum Chemistry Parameter (Creatinine Clearance) at Week 106Baseline, Week 106Clinical laboratory serum chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium, triglycerides, protein, albumin, creatinine clearance, bilirubin, creatinine, direct bilirubin, and urate. Change from baseline in creatinine clearance at baseline and Week 106 is reported in this outcome measure. Observed value at baseline and observed value at Week 106 were used to calculate the change from baseline value at Week 106.
Change From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Baseline, Week 158Clinical laboratory serum chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium, triglycerides, protein, albumin, creatinine clearance, bilirubin, creatinine, direct bilirubin, and urate. Change from baseline in bilirubin, creatinine, direct bilirubin, and urate at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.
Change From Baseline in Blood Pressure at Week 171Baseline, Week 171Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were assessed in seated/supine position. Observed value at baseline and observed value at Week 171 were used to calculate the change from baseline value at Week 171.
Duration of Time to Achieve a Stable Dose of SD-809 ERFrom Day 1 until the first day at which the participant was taking the dose level they were receiving at Week 8 (up to maximum 1284 days)Duration of time to achieve stable dose of SD-809, defined as the number of days from Day 1 until the first day at which the participant was taking the dose level they were receiving at Week 8.
Change From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) -Dysarthria Score at Week 171Baseline, Week 171The UPDRS is a comprehensive instrument used to assess the signs and symptoms of Parkinson's disease and includes patient and clinician-based assessments of motor, cognitive, and behavioral symptoms. The UPDRS-Dysarthria question pertaining to speech/dysarthria was used to monitor study participants for parkinsonism. Participants rated their responses on a scale ranging from 0 to 4, where 0 = normal; 1 = mildly affected, no difficulty being understood; 2 = moderately affected, sometimes asked to repeat statements; 3 = severely affected, frequently asked to repeat statements; 4 = unintelligible most of the time. Higher scores indicated greater impairment.
Change From Baseline in Heart Rate at Week 171Baseline, Week 171Heart rate was assessed in seated/supine position. Observed value at baseline and observed value at Week 171 were used to calculate the change from baseline value at Week 171.
Change From Baseline in Barnes Akathisia Rating Scale (BARS) Global Assessment Score at Week 171Baseline, Week 171BARS is a rating scale for evaluation of drug-induced akathisia. It includes a summary score (objective assessment of akathisia and subjective measures \[self-awareness and distress\]) and a global clinical assessment. Global clinical assessment rated on a scale ranging from 0 to 5, where 0=Absent. No evidence of awareness of restlessness; 1=Questionable. Non-specific inner tension and fidgety movements; 2=Mild akathisia. Awareness of restlessness in legs and/or inner restlessness worse when required to stand still. Fidgety movements present, but characteristic restless movements not necessarily observed; 3=Moderate akathisia. Awareness of restlessness combined with characteristic restless movements; 4=Marked akathisia. Subjective experience of restlessness includes a compulsive desire to walk or pace; 5=Severe akathisia. Strong compulsion to pace up and down most of the time. Constant restlessness associated with intense distress and insomnia. Higher scores indicated more akathisia.
Change From Baseline in Hospital Anxiety and Depression Scale (HADS) Anxiety Subscale Score at Week 171Baseline, Week 171HADS is a self-administered instrument reliable for detecting states of depression and anxiety It includes 2 subscales: Hospital Anxiety and Depression Scale - anxiety (HADS-A) assesses state of generalized anxiety (anxious mood, restlessness, anxious thoughts, panic attacks); Hospital Anxiety and Depression Scale - depression (HADS-D) assesses state of lost interest and diminished pleasure response (lowering of hedonic tone). Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score ranged from 0 to 21 for each subscale; where higher score indicated greater severity of anxiety and depression symptoms.
Change From Baseline in Hospital Anxiety and Depression Scale (HADS) Depression Subscale Score at Week 171Baseline, Week 171HADS is a self-administered instrument reliable for detecting states of depression and anxiety It includes 2 subscales: Hospital Anxiety and Depression Scale - anxiety (HADS-A) assesses state of generalized anxiety (anxious mood, restlessness, anxious thoughts, panic attacks); Hospital Anxiety and Depression Scale - depression (HADS-D) assesses state of lost interest and diminished pleasure response (lowering of hedonic tone). Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score ranged from 0 to 21 for each subscale; where higher score indicated greater severity of anxiety and depression symptoms.
Change From Baseline in Epworth Sleepiness Scale (ESS) Total Score at Week 171Baseline, Week 171ESS is a self-administered questionnaire comprised of 8 questions that provides a measure of a participant's general level of daytime sleepiness. Participants were asked to rate their usual chances of dozing off or falling asleep in different situations or activities that most people engage in as part of their daily lives (sitting and reading; watching TV; sitting inactive in a public place; as a passenger in a car for an hour without a break; lying down to rest in the afternoon when circumstances permit; sitting and talking to someone; sitting quietly after a lunch without alcohol; in a car, while stopped for a few minutes in traffic), on a 4-point Likert scale ranging from 0 to 3, where 0=no chance; 1=slight chance; 2=moderate chance; 3=high chance. Total ESS score is the sum of 8 item-scores and can range between 0 and 24 with a higher the score indicating a higher level of daytime sleepiness.
Number of Participants With Positive Response on the Columbia Suicide Severity Rating Scale (C-SSRS)Baseline up to 1-week follow-up visit (up to approximately 3 years 9 months)C-SSRS is a clinician rated assessment of suicidal behavior and ideation categorized as: Suicidal behavior=a yes response to any of 5 suicidal behavior questions (preparatory acts or behavior, aborted attempt, interrupted attempt, non-fatal suicide attempt, and completed suicide); Suicidal ideation=a yes response to any one of 5 suicidal ideation questions which includes wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with any methods (not plan) without intent to act, active suicidal ideation with some intent to act without specific plan, active suicidal ideation with specific plan and intent. Number of participants with positive response (response of yes) to suicidal behavior, ideation or any non-suicidal self-injurious behavior was reported.
Change From Baseline in Montreal Cognitive Assessment (MoCA) Total Score at Week 171Baseline, Week 171MoCA is a validated rapid screening instrument for assessing mild cognitive dysfunction. It assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation by using 30 questions test. Time to administer the MoCA© is approximately 10 minutes. The total possible score ranges from 0 (worst) to 30 (best) points; where higher scores indicate better cognitive function. A score of 26 or above is considered normal and a score below 26 is considered as recognitive dysfunction.
Change From Baseline in Unified Huntington's Disease Rating Scale (UHDRS) Total Behavior Score at Week 171Baseline, Week 171The UHDRS is a research tool developed by the Huntington Disease (HD) Study Group to provide a uniform assessment of the clinical features and course of HD. The components of the full UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities. The total behavior score is made up of subscores evaluating depressed mood, apathy, low self-esteem/guilt, compulsive behavior, anxiety, irritable behavior, perseverative/obsessive thinking, disruptive/aggressive behavior, suicidal thoughts, delusions, and hallucinations. For each subscore the frequency and severity was assessed separately. Frequency was rated on a scale of 0 (never or almost never) to 4 (very frequently, most of the time). Severity was rated on a scale of 0 (no evidence) to 4 (severe). Total behavior score ranges from 0 (no impairment) to 88 (severe impairment). Higher scores indicated greater behavioral impairments.
Change From Baseline in UHDRS Functional Assessment Score at Week 28Baseline, Week 28The UHDRS is a research tool developed by HD Study Group to provide a uniform assessment of the clinical features and course of HD. The components of the full UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities. Functional assessment included 25 questions with possible answers 'yes' or 'no'. Total score ranges from 0 (worst) to 25 (best). Higher scores indicate better functional ability.
Change From Baseline in UHDRS Independence Scale Score at Week 28Baseline, Week 28UHDRS: research tool to provide a uniform assessment of clinical features and course of HD. Components of UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities. Independence scale ranges from 10-100, indicating most accurate current level of participant's independence. 10=Tube fed, total bed care; 20=No speech, must be fed; 30=Participant provides minimal assistance in own feeding,bathing,toileting; 40=Chronic care facility needed; limited self-feeding; 50=24-hour supervision appropriate; assistance required for bathing,eating,toileting; 60=Needs minor assistance in dressing,toileting,bathing; 70=Self-care maintained for bathing,limited household duties; unable to manage finances; 80=Pre-disease level of employment changes or ends; cannot perform household chores, may need help with finances; 90=No physical care needed(difficult tasks avoided); 100=No special care needed. Higher scores indicate better independence.
Change From Baseline in UHDRS Total Functional Capacity (TFC) Score at Week 132Baseline, Week 132UHDRS is a research tool developed by HD Study Group to provide a uniform assessment of the clinical features and course of HD. Components of the full UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities (TFC). TFC is a 5-item clinician rating scale typically completed after a brief interview with a participant and/or collateral source. TFC globally assesses occupation, finances, domestic chores, activities of daily living, and level of care, with scores on each item ranging from 0 to either 2 or 3 (e.g., Occupation: 0 = unable, 1 = marginal work only, 2 = reduced capacity for usual job, 3 = normal). The five items are summed to yield a TFC total score, which ranges from 0 (normal function) to 13 (severe dysfunction). Higher scores indicated better functioning.
Change From Baseline in UHDRS Cognitive Assessment Score at Week 171Baseline, Week 171Components of UHDRS assess motor function,cognition,behaviour,functional abilities,independence scale, total functional capacities. Cognitive assessment component:verbal fluency(VF) score (memory,attention)(requiring participant to generate as many words as possible beginning with a specific letter\[F,A,S\]in 60 seconds \[sec\]. Score\[no range\]:total number of correct words for 3 letters), symbol digit modalities test(SDMT) score(psychomotor speed,attention)(participant is required to pair digits to assigned symbols using a reference key. Score\[0 {worst}-120 {best}\]:total number of correct written responses in 90 sec), & Stroop interference(SI) score (selective attention,executive function)(includes 3 conditions:naming colour blocks\[blue, red or green\]; reading colour words printed in black ink; naming ink colour of incongruous colour words. For each condition score(no range)is number of correct responses produced in 45 sec). In these tests, higher scores reflect better cognitive ability.
Change From Baseline in UHDRS Motor Assessment: Total Maximal Chorea (TMC) Score at Week 171Baseline, Week 171UHDRS is a research tool developed by HD Study Group to provide a uniform assessment of the clinical features and course of HD. Components of the full UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities. Motor function assessment includes total motor score (TMS) and TMC score. TMC score is determined from Item 12 (maximal chorea) of UHDRS TMS and quantifies chorea based on assessments of the face, bucco-oral-lingual area, trunk, and the 4 extremities. TMC score is a sum of chorea scores in the 7 body regions, ranging from 0 (absent chorea) to 28 (marked/prolonged chorea). Lower TMC scores indicated less chorea.
Change From Week 8 in UHDRS Motor Assessment: TMC Score at Week 171Week 8, Week 171UHDRS is a research tool developed by HD Study Group to provide a uniform assessment of clinical features and course of HD. Components of full UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities. Motor function assessment includes TMS and TMC score. TMC score is determined from Item 12 (maximal chorea) of UHDRS TMS and quantifies chorea based on assessments of the face, bucco-oral-lingual area, trunk, and the 4 extremities. TMC score is a sum of chorea scores in the 7 body regions, ranging from 0(absent chorea) to 28 (marked/prolonged chorea). Lower TMC scores indicated less chorea. Data was measured and available for total safety population. Data was not available by individual cohorts (rollover cohort and switch cohort) from Week 8 to Week 171, as was done for change from baseline. Therefore, in order to present results data for this outcome measure, the total, combined safety population treatment arm was used.
Change From Baseline in UHDRS Motor Assessment: Total Motor Score (TMS) at Week 171Baseline, Week 171UHDRS is a research tool developed by HD Study Group to provide a uniform assessment of the clinical features and course of HD. Components of the full UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities. Motor function assessment includes TMS and TMC score. The UHDRS TMS assesses all the motor features of HD and includes maximal chorea, maximal dystonia, ocular pursuit, saccade initiation and velocity, dysarthria, tongue protrusion, finger tapping, hand pronation and supination, luria, rigidity, bradykinesia, gait, tandem walking, and retropulsion pull test. Each of these was rated on a scale of 0 (normal motor function) to 4 (severely impaired motor function). TMS score is a sum of individual scores ranging from 0 (normal motor function) to 124 (severely impaired motor function). Lower TMS scores indicate better motor function.
Change From Week 8 in UHDRS Motor Assessment: TMS at Week 171Week 8, Week 171Components of full UHDRS assess motor function,cognition,behaviour,functional abilities,independence scale,total functional capacities. Motor function assessment includes TMS and TMC score. TMS assesses all motor features of HD and includes maximal chorea, maximal dystonia,ocular pursuit,saccade initiation and velocity,dysarthria,tongue protrusion,finger tapping,hand pronation and supination,luria rigidity,bradykinesia,gait,tandem walking,retropulsion pull test. Each of these was rated on a scale of 0(normal motor function) to 4(severely impaired motor function). TMS score is a sum of individual scores ranging from 0(normal motor function) to 124(severely impaired motor function). Lower TMS scores= better motor function. Data was available for total safety population, not by individual cohorts(rollover and switch cohort) from Week 8 to Week 171,as was done for change from baseline. Therefore, in order to present results data,the total,combined safety population treatment arm was used.
Change From Baseline in Barnes Akathisia Rating Scale (BARS) Summary Score at Week 171Baseline, Week 171BARS is a rating scale for evaluation of drug-induced akathisia. It includes a summary score (objective assessment of akathisia and subjective measures \[self-awareness and distress\]) and a global clinical assessment. Objective akathisia rated on a scale of 0-3 (0=normal, occasional fidgety movements of limbs; 1=characteristic restless movements for less than half the time observed; 2= characteristic restless movements for at least half the time observed; 3=constant characteristic restless movements). Subjective measures included awareness of restlessness (rated on a scale of 0 \[absence of inner restlessness\] to 3 \[awareness of intense compulsion to move\]) and distress related to restlessness (rated on a scale of 0 \[no distress\] to 3 \[severe distress\]). Objective akathisia and subjective measures summed to yield summary score ranging from 0 (no akathisia and restlessness) to 9 (severe akathisia and restlessness), where higher scores indicated more akathisia and restlessness.
Change From Baseline in Respiration Rate at Week 171Baseline, Week 171Observed value at baseline and observed value at Week 171 were used to calculate the change from baseline value at Week 171.
Change From Baseline in Body Temperature at Week 171Baseline, Week 171Observed value at baseline and observed value at Week 171 were used to calculate the change from baseline value at Week 171.
Number of Participants With Clinically Significant Abnormalities in ECG ParametersBaseline, Week 8ECG parameters included heart rate, PR interval, QRS duration, QT interval and QTcF. Clinical significance was as as per Investigator's discretion.

Countries

Australia, Canada, United States

Participant flow

Participants by arm

ArmCount
Rollover Cohort: SD-809 ER
Participants who completed study SD-809-C-15 (either placebo group or SD-809 group, including 1-week washout period and Week 13 evaluation), received 6 mg SD-809 ER tablet once daily as a starting dose in this study. Dose titration was continued through Week 8 to optimize the dose. Dose of SD-809 ER could be adjusted weekly in increments of 6 mg/day (6 or 12 mg/day after a total daily dose of 48 mg was reached) based on chorea control and adverse events. Daily doses of SD-809 ER 12 mg and higher were administered twice daily. Maximum total daily dose of SD-809 ER was 72 mg/day (36 mg twice daily), unless the participant was receiving a strong CYP2D6 inhibitor (e.g., paroxetine, buproprion, and fluoxetine), in which case the maximum total daily dose was 42 mg (21 mg twice daily). Long-term treatment with SD-809 ER at a stable dose (although further dose adjustments were permitted, if clinically indicated) continued until SD-809 ER became commercially available in United States.
82
Switch Cohort: SD-809 ER
Participants who were receiving FDA-approved dosing regimen of tetrabenazine for at least 8 weeks prior to screening, were converted overnight from their existing tetrabenazine regimen to SD-809 ER regimen to achieve targeted steady-state AUC of total (alpha+beta)-HTBZ metabolites that was predicted to be comparable to that of participant's prior tetrabenazine regimen. Participants remained on initial dose of SD-809 ER through Week 1. Dose adjustment was continued through Week 4 to optimize the dose. Dose of SD-809 ER could be adjusted weekly (upward or downward) in increments of 6 mg per day (6 mg/day or 12 mg/day after a total daily dose of 48 mg was reached), based on chorea control and treatment regimen tolerability. Long-term treatment with SD-809 ER at a stable dose (although further dose adjustments were permitted, if clinically indicated) continued until SD-809 ER became commercially available in United States.
37
Total119

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event111
Overall StudyCaregiver can no longer participate02
Overall StudyDeath10
Overall StudyLost to Follow-up10
Overall StudyNon-compliance with study drug dosing11
Overall StudyOther than specified21
Overall StudyProtocol Violation11
Overall StudyRequire drug that interfere with study14
Overall StudyWithdrawal by Subject71
Overall StudyWithdrawal per Investigator's judgement11

Baseline characteristics

CharacteristicRollover Cohort: SD-809 ERSwitch Cohort: SD-809 ERTotal
Age, Continuous53.7 years
STANDARD_DEVIATION 12.27
52.4 years
STANDARD_DEVIATION 11.48
53.3 years
STANDARD_DEVIATION 12
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants2 Participants2 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
82 Participants35 Participants117 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Black or African American
4 Participants0 Participants4 Participants
Race/Ethnicity, Customized
Multiple
2 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Other
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
76 Participants36 Participants112 Participants
Sex: Female, Male
Female
37 Participants15 Participants52 Participants
Sex: Female, Male
Male
45 Participants22 Participants67 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
1 / 820 / 37
other
Total, other adverse events
74 / 8232 / 37
serious
Total, serious adverse events
21 / 8211 / 37

Outcome results

Primary

Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose Treatment

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AEs=inability to carry out usual activities. Drug-related TEAEs: TEAEs with a possible, probable, definite, or missing relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: events that 1) began after treatment with study drug in current study and that were not present at baseline or 2) if present at baseline, had worsened in severity. Any TEAEs included both serious and non-serious TEAEs. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Time frame: Week 8 to follow-up visit (up to approximately 3 years 9 months)

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Overall number of participants analyzed' signifies number of participants evaluable for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rollover Cohort: SD-809 ERNumber of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose TreatmentSerious TEAEs20 Participants
Rollover Cohort: SD-809 ERNumber of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose TreatmentDrug-Related TEAEs49 Participants
Rollover Cohort: SD-809 ERNumber of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose TreatmentSevere TEAEs17 Participants
Rollover Cohort: SD-809 ERNumber of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose TreatmentTEAEs Leading to Withdrawal From Study13 Participants
Rollover Cohort: SD-809 ERNumber of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose TreatmentAny TEAEs74 Participants
Switch Cohort: SD-809 ERNumber of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose TreatmentTEAEs Leading to Withdrawal From Study3 Participants
Switch Cohort: SD-809 ERNumber of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose TreatmentAny TEAEs35 Participants
Switch Cohort: SD-809 ERNumber of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose TreatmentSerious TEAEs10 Participants
Switch Cohort: SD-809 ERNumber of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose TreatmentSevere TEAEs7 Participants
Switch Cohort: SD-809 ERNumber of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose TreatmentDrug-Related TEAEs22 Participants
Primary

Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment Period

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AE=inability to carry out usual activities. Drug-related TEAEs: TEAEs with possible, probable, definite, or missing relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: events that 1) began after treatment with study drug in current study and that were not present at baseline or 2) if present at baseline, had worsened in severity. Any TEAEs included both serious and non-serious TEAEs. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Time frame: Baseline to follow-up visit (up to approximately 3 years 9 months)

Population: Safety population included all participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rollover Cohort: SD-809 ERNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment PeriodSevere TEAEs17 Participants
Rollover Cohort: SD-809 ERNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment PeriodDrug-Related TEAEs56 Participants
Rollover Cohort: SD-809 ERNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment PeriodSerious TEAEs21 Participants
Rollover Cohort: SD-809 ERNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment PeriodTEAEs Leading to Withdrawal From Study13 Participants
Rollover Cohort: SD-809 ERNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment PeriodAny TEAEs77 Participants
Switch Cohort: SD-809 ERNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment PeriodTEAEs Leading to Withdrawal From Study3 Participants
Switch Cohort: SD-809 ERNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment PeriodAny TEAEs35 Participants
Switch Cohort: SD-809 ERNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment PeriodSerious TEAEs11 Participants
Switch Cohort: SD-809 ERNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment PeriodDrug-Related TEAEs26 Participants
Switch Cohort: SD-809 ERNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment PeriodSevere TEAEs7 Participants
Primary

Rollover Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Titration

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AEs=inability to carry out usual activities. Drug-related TEAEs: TEAEs with a possible, probable, definite, or missing relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: events that 1) began after treatment with study drug in current study and that were not present at baseline or 2) if present at baseline, had worsened in severity. Any TEAEs included both serious and non-serious TEAEs. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Time frame: Day 1 to end of Week 8

Population: Safety population included all participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rollover Cohort: SD-809 ERRollover Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During TitrationAny TEAEs49 Participants
Rollover Cohort: SD-809 ERRollover Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During TitrationSerious TEAEs1 Participants
Rollover Cohort: SD-809 ERRollover Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During TitrationSevere TEAEs0 Participants
Rollover Cohort: SD-809 ERRollover Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During TitrationDrug-Related TEAEs23 Participants
Rollover Cohort: SD-809 ERRollover Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During TitrationTEAEs Leading to Withdrawal From Study0 Participants
Primary

Switch Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Dose Adjustment

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AEs=inability to carry out usual activities. Drug-related TEAEs: TEAEs with a possible, probable, definite, or missing relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: events that 1) began after treatment with study drug in current study and that were not present at baseline or 2) if present at baseline, had worsened in severity. Any TEAEs included both serious and non-serious TEAEs. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Time frame: Day 1 to end of Week 4

Population: Safety population included all participants received at least 1 dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rollover Cohort: SD-809 ERSwitch Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Dose AdjustmentAny TEAEs17 Participants
Rollover Cohort: SD-809 ERSwitch Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Dose AdjustmentSerious TEAEs1 Participants
Rollover Cohort: SD-809 ERSwitch Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Dose AdjustmentSevere TEAEs1 Participants
Rollover Cohort: SD-809 ERSwitch Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Dose AdjustmentDrug-Related TEAEs11 Participants
Rollover Cohort: SD-809 ERSwitch Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Dose AdjustmentTEAEs Leading to Withdrawal From Study0 Participants
Secondary

Change From Baseline in Barnes Akathisia Rating Scale (BARS) Global Assessment Score at Week 171

BARS is a rating scale for evaluation of drug-induced akathisia. It includes a summary score (objective assessment of akathisia and subjective measures \[self-awareness and distress\]) and a global clinical assessment. Global clinical assessment rated on a scale ranging from 0 to 5, where 0=Absent. No evidence of awareness of restlessness; 1=Questionable. Non-specific inner tension and fidgety movements; 2=Mild akathisia. Awareness of restlessness in legs and/or inner restlessness worse when required to stand still. Fidgety movements present, but characteristic restless movements not necessarily observed; 3=Moderate akathisia. Awareness of restlessness combined with characteristic restless movements; 4=Marked akathisia. Subjective experience of restlessness includes a compulsive desire to walk or pace; 5=Severe akathisia. Strong compulsion to pace up and down most of the time. Constant restlessness associated with intense distress and insomnia. Higher scores indicated more akathisia.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Barnes Akathisia Rating Scale (BARS) Global Assessment Score at Week 171Change at Week 1710.4 units on a scaleStandard Deviation 0.79
Rollover Cohort: SD-809 ERChange From Baseline in Barnes Akathisia Rating Scale (BARS) Global Assessment Score at Week 171Baseline0.5 units on a scaleStandard Deviation 0.83
Switch Cohort: SD-809 ERChange From Baseline in Barnes Akathisia Rating Scale (BARS) Global Assessment Score at Week 171Baseline0.4 units on a scaleStandard Deviation 0.68
Switch Cohort: SD-809 ERChange From Baseline in Barnes Akathisia Rating Scale (BARS) Global Assessment Score at Week 171Change at Week 1711.0 units on a scaleStandard Deviation 1.41
Secondary

Change From Baseline in Barnes Akathisia Rating Scale (BARS) Summary Score at Week 171

BARS is a rating scale for evaluation of drug-induced akathisia. It includes a summary score (objective assessment of akathisia and subjective measures \[self-awareness and distress\]) and a global clinical assessment. Objective akathisia rated on a scale of 0-3 (0=normal, occasional fidgety movements of limbs; 1=characteristic restless movements for less than half the time observed; 2= characteristic restless movements for at least half the time observed; 3=constant characteristic restless movements). Subjective measures included awareness of restlessness (rated on a scale of 0 \[absence of inner restlessness\] to 3 \[awareness of intense compulsion to move\]) and distress related to restlessness (rated on a scale of 0 \[no distress\] to 3 \[severe distress\]). Objective akathisia and subjective measures summed to yield summary score ranging from 0 (no akathisia and restlessness) to 9 (severe akathisia and restlessness), where higher scores indicated more akathisia and restlessness.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Barnes Akathisia Rating Scale (BARS) Summary Score at Week 171Baseline1.1 units on a scaleStandard Deviation 1.67
Rollover Cohort: SD-809 ERChange From Baseline in Barnes Akathisia Rating Scale (BARS) Summary Score at Week 171Change at Week 1710.7 units on a scaleStandard Deviation 1.5
Switch Cohort: SD-809 ERChange From Baseline in Barnes Akathisia Rating Scale (BARS) Summary Score at Week 171Baseline0.8 units on a scaleStandard Deviation 1.25
Switch Cohort: SD-809 ERChange From Baseline in Barnes Akathisia Rating Scale (BARS) Summary Score at Week 171Change at Week 1710.5 units on a scaleStandard Deviation 3.54
Secondary

Change From Baseline in Blood Pressure at Week 171

Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were assessed in seated/supine position. Observed value at baseline and observed value at Week 171 were used to calculate the change from baseline value at Week 171.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number of participants analyzed' signifies participants evaluable for this outcome measure for specified categories.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Blood Pressure at Week 171SBP: Baseline120.5 millimeters of mercury (mmHg)Standard Deviation 12.7
Rollover Cohort: SD-809 ERChange From Baseline in Blood Pressure at Week 171SBP: Change at Week 171-4.0 millimeters of mercury (mmHg)
Rollover Cohort: SD-809 ERChange From Baseline in Blood Pressure at Week 171DBP: Baseline73.3 millimeters of mercury (mmHg)Standard Deviation 10.21
Rollover Cohort: SD-809 ERChange From Baseline in Blood Pressure at Week 171DBP: Change at Week 171-6.0 millimeters of mercury (mmHg)
Switch Cohort: SD-809 ERChange From Baseline in Blood Pressure at Week 171SBP: Baseline118.9 millimeters of mercury (mmHg)Standard Deviation 17.8
Switch Cohort: SD-809 ERChange From Baseline in Blood Pressure at Week 171DBP: Baseline73.8 millimeters of mercury (mmHg)Standard Deviation 11.85
Secondary

Change From Baseline in Body Temperature at Week 171

Observed value at baseline and observed value at Week 171 were used to calculate the change from baseline value at Week 171.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number of participants analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Body Temperature at Week 171Baseline36.56 degrees centigradeStandard Deviation 0.427
Rollover Cohort: SD-809 ERChange From Baseline in Body Temperature at Week 171Change at Week 171-0.13 degrees centigradeStandard Deviation 0.468
Switch Cohort: SD-809 ERChange From Baseline in Body Temperature at Week 171Baseline36.67 degrees centigradeStandard Deviation 0.309
Switch Cohort: SD-809 ERChange From Baseline in Body Temperature at Week 171Change at Week 171-0.10 degrees centigradeStandard Deviation 0.283
Secondary

Change From Baseline in Clinical Laboratory Hematology Parameter (Erythrocytes) at Week 158

Clinical laboratory hematology parameters included basophils, eosinophils, leukocytes, lymphocytes, monocytes, neutrophils, platelets, erythrocytes mean corpuscular volume, erythrocytes, hematocrit, and hemoglobin. Change from baseline in erythrocytes at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.

Time frame: Baseline, Week 158

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Erythrocytes) at Week 158Baseline4.60 10^12 cells per literStandard Deviation 0.397
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Erythrocytes) at Week 158Change at Week 1580.18 10^12 cells per literStandard Deviation 0.262
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Erythrocytes) at Week 158Baseline4.54 10^12 cells per literStandard Deviation 0.377
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Erythrocytes) at Week 158Change at Week 1580.19 10^12 cells per literStandard Deviation 0.247
Secondary

Change From Baseline in Clinical Laboratory Hematology Parameter (Erythrocytes Mean Corpuscular Volume) at Week 158

Clinical laboratory hematology parameters included basophils, eosinophils, leukocytes, lymphocytes, monocytes, neutrophils, platelets, erythrocytes mean corpuscular volume, erythrocytes, hematocrit, and hemoglobin. Change from baseline in erythrocytes mean corpuscular volume at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.

Time frame: Baseline, Week 158

Population: Safety population included all participants received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Erythrocytes Mean Corpuscular Volume) at Week 158Baseline91.1 femtoliter (fL)Standard Deviation 3.95
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Erythrocytes Mean Corpuscular Volume) at Week 158Change at Week 1582.2 femtoliter (fL)Standard Deviation 3.23
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Erythrocytes Mean Corpuscular Volume) at Week 158Baseline92.1 femtoliter (fL)Standard Deviation 5.39
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Erythrocytes Mean Corpuscular Volume) at Week 158Change at Week 1581.6 femtoliter (fL)Standard Deviation 4.14
Secondary

Change From Baseline in Clinical Laboratory Hematology Parameter (Hematocrit) at Week 158

Clinical laboratory hematology parameters included basophils, eosinophils, leukocytes, lymphocytes, monocytes, neutrophils, platelets, erythrocytes mean corpuscular volume, erythrocytes, hematocrit, and hemoglobin. Hematocrit levels were calculated as the ratio of the volume of red cells to the volume of whole blood. Change from baseline in hematocrit at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.

Time frame: Baseline, Week 158

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Hematocrit) at Week 158Baseline0.419 ratioStandard Deviation 0.0363
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Hematocrit) at Week 158Change at Week 1580.025 ratioStandard Deviation 0.0255
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Hematocrit) at Week 158Baseline0.417 ratioStandard Deviation 0.0397
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Hematocrit) at Week 158Change at Week 1580.025 ratioStandard Deviation 0.0334
Secondary

Change From Baseline in Clinical Laboratory Hematology Parameter (Hemoglobin) at Week 158

Clinical laboratory hematology parameters included basophils, eosinophils, leukocytes, lymphocytes, monocytes, neutrophils, platelets, erythrocytes mean corpuscular volume, erythrocytes, hematocrit, and hemoglobin. Change from baseline in hemoglobin at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.

Time frame: Baseline, Week 158

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Hemoglobin) at Week 158Baseline139.7 grams per liter (g/L)Standard Deviation 12.26
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Hemoglobin) at Week 158Change at Week 1584.6 grams per liter (g/L)Standard Deviation 7.99
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Hemoglobin) at Week 158Baseline138.4 grams per liter (g/L)Standard Deviation 13.19
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameter (Hemoglobin) at Week 158Change at Week 1584.5 grams per liter (g/L)Standard Deviation 11.99
Secondary

Change From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158

Clinical laboratory hematology parameters included basophils, eosinophils, leukocytes, lymphocytes, monocytes, neutrophils, platelets, erythrocytes mean corpuscular volume, erythrocytes, hematocrit, and hemoglobin. Change from baseline in basophils, eosinophils, leukocytes, lymphocytes, monocytes, neutrophils and platelets cells at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed values at Week 158 were used to calculate the change from baseline value at Week 158.

Time frame: Baseline, Week 158

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure for specified categories.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Eosinophils: Change at Week 158-0.054 10^9 cells per literStandard Deviation 0.0784
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Lymphocytes: Change at Week 158-0.088 10^9 cells per literStandard Deviation 0.4261
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Basophils: Baseline0.029 10^9 cells per literStandard Deviation 0.0231
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Monocytes: Baseline0.445 10^9 cells per literStandard Deviation 0.1805
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Monocytes: Change at Week 158-0.129 10^9 cells per literStandard Deviation 0.1722
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Leukocytes: Baseline6.98 10^9 cells per literStandard Deviation 2.083
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Neutrophils: Baseline4.437 10^9 cells per literStandard Deviation 1.6324
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Eosinophils: Baseline0.151 10^9 cells per literStandard Deviation 0.1274
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Neutrophils: Change at Week 1580.243 10^9 cells per literStandard Deviation 0.6359
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Leukocytes: Change at Week 158-0.04 10^9 cells per literStandard Deviation 0.927
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Platelets: Baseline235.6 10^9 cells per literStandard Deviation 62.81
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Basophils: Change at Week 158-0.014 10^9 cells per literStandard Deviation 0.0287
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Platelets: Change at Week 1581.2 10^9 cells per literStandard Deviation 56.09
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Lymphocytes: Baseline1.922 10^9 cells per literStandard Deviation 0.7674
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Platelets: Change at Week 158-12.0 10^9 cells per literStandard Deviation 26.59
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Basophils: Baseline0.035 10^9 cells per literStandard Deviation 0.0283
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Basophils: Change at Week 158-0.004 10^9 cells per literStandard Deviation 0.0385
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Eosinophils: Baseline0.195 10^9 cells per literStandard Deviation 0.1366
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Eosinophils: Change at Week 1580.009 10^9 cells per literStandard Deviation 0.0911
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Leukocytes: Baseline6.97 10^9 cells per literStandard Deviation 1.828
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Leukocytes: Change at Week 158-0.04 10^9 cells per literStandard Deviation 1.098
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Lymphocytes: Baseline1.789 10^9 cells per literStandard Deviation 0.7088
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Lymphocytes: Change at Week 1580.075 10^9 cells per literStandard Deviation 0.5409
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Monocytes: Change at Week 158-0.068 10^9 cells per literStandard Deviation 0.1335
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Neutrophils: Baseline4.538 10^9 cells per literStandard Deviation 1.4741
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Neutrophils: Change at Week 158-0.050 10^9 cells per literStandard Deviation 0.8166
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Platelets: Baseline247.2 10^9 cells per literStandard Deviation 77.63
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Hematology Parameters (Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets) at Week 158Monocytes: Baseline0.416 10^9 cells per literStandard Deviation 0.1416
Secondary

Change From Baseline in Clinical Laboratory Serum Chemistry Parameter (Creatinine Clearance) at Week 106

Clinical laboratory serum chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium, triglycerides, protein, albumin, creatinine clearance, bilirubin, creatinine, direct bilirubin, and urate. Change from baseline in creatinine clearance at baseline and Week 106 is reported in this outcome measure. Observed value at baseline and observed value at Week 106 were used to calculate the change from baseline value at Week 106.

Time frame: Baseline, Week 106

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameter (Creatinine Clearance) at Week 106Baseline94.1 milliliters per minute (mL/min)Standard Deviation 26.67
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameter (Creatinine Clearance) at Week 106Change at Week 106-4.5 milliliters per minute (mL/min)Standard Deviation 6.36
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameter (Creatinine Clearance) at Week 106Baseline89.9 milliliters per minute (mL/min)Standard Deviation 27.55
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameter (Creatinine Clearance) at Week 106Change at Week 106-34.0 milliliters per minute (mL/min)
Secondary

Change From Baseline in Clinical Laboratory Serum Chemistry Parameters (Alanine Aminotransferase and Alkaline Phosphatase) at Week 158

Clinical laboratory serum chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium, triglycerides, protein, albumin, creatinine clearance, bilirubin, creatinine, direct bilirubin, and urate. Change from baseline in alanine aminotransferase and alkaline phosphatase at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.

Time frame: Baseline, Week 158

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure for specified categories.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Alanine Aminotransferase and Alkaline Phosphatase) at Week 158Alanine Aminotransferase: Baseline20.7 international units per liter (IU/L)Standard Deviation 9.74
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Alanine Aminotransferase and Alkaline Phosphatase) at Week 158Alanine Aminotransferase: Change at Week 158-5.3 international units per liter (IU/L)Standard Deviation 7.51
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Alanine Aminotransferase and Alkaline Phosphatase) at Week 158Alkaline Phosphatase: Baseline72.6 international units per liter (IU/L)Standard Deviation 20.24
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Alanine Aminotransferase and Alkaline Phosphatase) at Week 158Alkaline Phosphatase: Change at Week 158-1.0 international units per liter (IU/L)Standard Deviation 8.21
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Alanine Aminotransferase and Alkaline Phosphatase) at Week 158Alkaline Phosphatase: Change at Week 1581.0 international units per liter (IU/L)Standard Deviation 9.62
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Alanine Aminotransferase and Alkaline Phosphatase) at Week 158Alanine Aminotransferase: Baseline18.9 international units per liter (IU/L)Standard Deviation 12.2
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Alanine Aminotransferase and Alkaline Phosphatase) at Week 158Alkaline Phosphatase: Baseline73.1 international units per liter (IU/L)Standard Deviation 20.61
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Alanine Aminotransferase and Alkaline Phosphatase) at Week 158Alanine Aminotransferase: Change at Week 158-2.1 international units per liter (IU/L)Standard Deviation 9.74
Secondary

Change From Baseline in Clinical Laboratory Serum Chemistry Parameters (Aspartate Aminotransferase and Lactate Dehydrogenase) at Week 158

Clinical laboratory serum chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium, triglycerides, protein, albumin, creatinine clearance, bilirubin, creatinine, direct bilirubin, and urate. Change from baseline in aspartate aminotransferase and lactate dehydrogenase at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.

Time frame: Baseline, Week 158

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure for specified categories.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Aspartate Aminotransferase and Lactate Dehydrogenase) at Week 158Aspartate Aminotransferase: Baseline20.5 units per liter (U/L)Standard Deviation 5.84
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Aspartate Aminotransferase and Lactate Dehydrogenase) at Week 158Aspartate Aminotransferase: Change at Week 158-2.7 units per liter (U/L)Standard Deviation 5.43
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Aspartate Aminotransferase and Lactate Dehydrogenase) at Week 158Lactate Dehydrogenase: Baseline163.9 units per liter (U/L)Standard Deviation 28.05
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Aspartate Aminotransferase and Lactate Dehydrogenase) at Week 158Lactate Dehydrogenase: Change at Week 158-5.5 units per liter (U/L)Standard Deviation 27.83
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Aspartate Aminotransferase and Lactate Dehydrogenase) at Week 158Lactate Dehydrogenase: Change at Week 158-4.9 units per liter (U/L)Standard Deviation 18.45
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Aspartate Aminotransferase and Lactate Dehydrogenase) at Week 158Aspartate Aminotransferase: Baseline18.4 units per liter (U/L)Standard Deviation 6.88
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Aspartate Aminotransferase and Lactate Dehydrogenase) at Week 158Lactate Dehydrogenase: Baseline161.1 units per liter (U/L)Standard Deviation 42.32
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Aspartate Aminotransferase and Lactate Dehydrogenase) at Week 158Aspartate Aminotransferase: Change at Week 158-1.1 units per liter (U/L)Standard Deviation 5.4
Secondary

Change From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158

Clinical laboratory serum chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium, triglycerides, protein, albumin, creatinine clearance, bilirubin, creatinine, direct bilirubin, and urate. Change from baseline in bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium and triglycerides at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.

Time frame: Baseline, Week 158

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure for specified categories.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Glucose: Baseline5.28 millimoles per liter (mmol/L)Standard Deviation 1.571
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Calcium: Baseline2.417 millimoles per liter (mmol/L)Standard Deviation 0.1067
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Glucose: Change at Week 158-0.54 millimoles per liter (mmol/L)Standard Deviation 1.018
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Bicarbonate: Baseline24.7 millimoles per liter (mmol/L)Standard Deviation 2.55
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Magnesium: Baseline0.871 millimoles per liter (mmol/L)Standard Deviation 0.0566
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Calcium: Change at Week 158-0.034 millimoles per liter (mmol/L)Standard Deviation 0.1282
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Magnesium: Change at Week 158-0.027 millimoles per liter (mmol/L)Standard Deviation 0.0701
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Blood Urea Nitrogen: Baseline5.979 millimoles per liter (mmol/L)Standard Deviation 1.8432
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Phosphate: Baseline1.194 millimoles per liter (mmol/L)Standard Deviation 0.1769
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Chloride: Baseline102.5 millimoles per liter (mmol/L)Standard Deviation 2.28
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Phosphate: Change at Week 158-0.029 millimoles per liter (mmol/L)Standard Deviation 0.2298
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Sodium: Change at Week 158-2.0 millimoles per liter (mmol/L)Standard Deviation 3.56
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Potassium: Baseline4.39 millimoles per liter (mmol/L)Standard Deviation 0.419
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Chloride: Change at Week 158-2.7 millimoles per liter (mmol/L)Standard Deviation 2.62
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Potassium: Change at Week 158-0.14 millimoles per liter (mmol/L)Standard Deviation 0.414
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Sodium: Baseline142.4 millimoles per liter (mmol/L)Standard Deviation 2.14
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Cholesterol: Baseline5.118 millimoles per liter (mmol/L)Standard Deviation 0.9505
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Blood Urea Nitrogen: Change at Week 158-0.531 millimoles per liter (mmol/L)Standard Deviation 1.4864
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Triglycerides: Baseline1.606 millimoles per liter (mmol/L)Standard Deviation 1.0001
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Cholesterol: Change at Week 158-0.131 millimoles per liter (mmol/L)Standard Deviation 0.879
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Triglycerides: Change at Week 158-0.147 millimoles per liter (mmol/L)Standard Deviation 0.8692
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Bicarbonate: Change at Week 158-0.2 millimoles per liter (mmol/L)Standard Deviation 2.87
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Triglycerides: Change at Week 158-0.420 millimoles per liter (mmol/L)Standard Deviation 1.0005
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Potassium: Change at Week 1580.19 millimoles per liter (mmol/L)Standard Deviation 0.501
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Bicarbonate: Baseline24.7 millimoles per liter (mmol/L)Standard Deviation 2.06
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Bicarbonate: Change at Week 1580.7 millimoles per liter (mmol/L)Standard Deviation 3.16
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Blood Urea Nitrogen: Baseline6.282 millimoles per liter (mmol/L)Standard Deviation 1.8177
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Blood Urea Nitrogen: Change at Week 158-0.323 millimoles per liter (mmol/L)Standard Deviation 0.9797
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Calcium: Baseline2.393 millimoles per liter (mmol/L)Standard Deviation 0.1523
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Calcium: Change at Week 158-0.067 millimoles per liter (mmol/L)Standard Deviation 0.0869
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Chloride: Baseline103.8 millimoles per liter (mmol/L)Standard Deviation 2.24
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Cholesterol: Baseline4.863 millimoles per liter (mmol/L)Standard Deviation 1.1686
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Cholesterol: Change at Week 158-0.173 millimoles per liter (mmol/L)Standard Deviation 0.7715
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Glucose: Baseline5.31 millimoles per liter (mmol/L)Standard Deviation 1.029
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Glucose: Change at Week 158-0.64 millimoles per liter (mmol/L)Standard Deviation 1.033
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Magnesium: Baseline0.843 millimoles per liter (mmol/L)Standard Deviation 0.0567
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Magnesium: Change at Week 1580.016 millimoles per liter (mmol/L)Standard Deviation 0.0639
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Phosphate: Baseline1.191 millimoles per liter (mmol/L)Standard Deviation 0.1661
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Phosphate: Change at Week 1580.061 millimoles per liter (mmol/L)Standard Deviation 0.133
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Potassium: Baseline4.46 millimoles per liter (mmol/L)Standard Deviation 0.332
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Sodium: Baseline142.9 millimoles per liter (mmol/L)Standard Deviation 2.31
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Sodium: Change at Week 158-1.7 millimoles per liter (mmol/L)Standard Deviation 2.06
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Triglycerides: Baseline1.733 millimoles per liter (mmol/L)Standard Deviation 1.2887
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides) at Week 158Chloride: Change at Week 158-2.0 millimoles per liter (mmol/L)Standard Deviation 1.5
Secondary

Change From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158

Clinical laboratory serum chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium, triglycerides, protein, albumin, creatinine clearance, bilirubin, creatinine, direct bilirubin, and urate. Change from baseline in bilirubin, creatinine, direct bilirubin, and urate at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.

Time frame: Baseline, Week 158

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure for specified categories.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Direct Bilirubin: Baseline2.4 micromoles per literStandard Deviation 0.94
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Direct Bilirubin: Change at Week 1580.1 micromoles per literStandard Deviation 0.23
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Urate: Baseline305.2 micromoles per literStandard Deviation 83.7
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Urate: Change at Week 158-21.8 micromoles per literStandard Deviation 55.5
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Bilirubin: Baseline7.8 micromoles per literStandard Deviation 4.82
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Bilirubin: Change at Week 158-0.7 micromoles per literStandard Deviation 2.51
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Creatinine: Baseline82.8 micromoles per literStandard Deviation 16.81
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Creatinine: Change at Week 158-2.4 micromoles per literStandard Deviation 10.13
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Creatinine: Baseline84.2 micromoles per literStandard Deviation 19.02
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Creatinine: Change at Week 158-2.4 micromoles per literStandard Deviation 6.46
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Urate: Change at Week 158-3.4 micromoles per literStandard Deviation 39.37
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Direct Bilirubin: Baseline2.1 micromoles per literStandard Deviation 0.35
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Bilirubin: Change at Week 158-1.4 micromoles per literStandard Deviation 2.07
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Direct Bilirubin: Change at Week 158-0.2 micromoles per literStandard Deviation 0.44
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Bilirubin: Baseline6.0 micromoles per literStandard Deviation 2.43
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Bilirubin, Creatinine, Direct Bilirubin, and Urate) at Week 158Urate: Baseline269.5 micromoles per literStandard Deviation 75.06
Secondary

Change From Baseline in Clinical Laboratory Serum Chemistry Parameters (Protein and Albumin) at Week 158

Clinical laboratory serum chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, bicarbonate, blood urea nitrogen, calcium, chloride, cholesterol, glucose, magnesium, phosphate, potassium, sodium, triglycerides, protein, albumin, creatinine clearance, bilirubin, creatinine, direct bilirubin, and urate. Change from baseline in protein and albumin at baseline and Week 158 is reported in this outcome measure. Observed value at baseline and observed value at Week 158 were used to calculate the change from baseline value at Week 158.

Time frame: Baseline, Week 158

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure for specified categories.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Protein and Albumin) at Week 158Protein: Baseline69.5 g/LStandard Deviation 3.88
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Protein and Albumin) at Week 158Albumin: Baseline43.9 g/LStandard Deviation 2.55
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Protein and Albumin) at Week 158Protein: Change at Week 158-0.9 g/LStandard Deviation 3.54
Rollover Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Protein and Albumin) at Week 158Albumin: Change at Week 1580.2 g/LStandard Deviation 3.61
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Protein and Albumin) at Week 158Albumin: Change at Week 158-0.9 g/LStandard Deviation 2.57
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Protein and Albumin) at Week 158Protein: Baseline67.3 g/LStandard Deviation 4.54
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Protein and Albumin) at Week 158Protein: Change at Week 158-2.9 g/LStandard Deviation 4.43
Switch Cohort: SD-809 ERChange From Baseline in Clinical Laboratory Serum Chemistry Parameters (Protein and Albumin) at Week 158Albumin: Baseline43.1 g/LStandard Deviation 2.65
Secondary

Change From Baseline in Epworth Sleepiness Scale (ESS) Total Score at Week 171

ESS is a self-administered questionnaire comprised of 8 questions that provides a measure of a participant's general level of daytime sleepiness. Participants were asked to rate their usual chances of dozing off or falling asleep in different situations or activities that most people engage in as part of their daily lives (sitting and reading; watching TV; sitting inactive in a public place; as a passenger in a car for an hour without a break; lying down to rest in the afternoon when circumstances permit; sitting and talking to someone; sitting quietly after a lunch without alcohol; in a car, while stopped for a few minutes in traffic), on a 4-point Likert scale ranging from 0 to 3, where 0=no chance; 1=slight chance; 2=moderate chance; 3=high chance. Total ESS score is the sum of 8 item-scores and can range between 0 and 24 with a higher the score indicating a higher level of daytime sleepiness.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Epworth Sleepiness Scale (ESS) Total Score at Week 171Baseline4.4 units on a scaleStandard Deviation 3.72
Rollover Cohort: SD-809 ERChange From Baseline in Epworth Sleepiness Scale (ESS) Total Score at Week 171Change at Week 1714.7 units on a scaleStandard Deviation 7.45
Switch Cohort: SD-809 ERChange From Baseline in Epworth Sleepiness Scale (ESS) Total Score at Week 171Baseline6.0 units on a scaleStandard Deviation 4.15
Switch Cohort: SD-809 ERChange From Baseline in Epworth Sleepiness Scale (ESS) Total Score at Week 171Change at Week 1711.0 units on a scaleStandard Deviation 1.41
Secondary

Change From Baseline in Heart Rate at Week 171

Heart rate was assessed in seated/supine position. Observed value at baseline and observed value at Week 171 were used to calculate the change from baseline value at Week 171.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number of participants analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Heart Rate at Week 171Baseline70.7 beats per minuteStandard Deviation 8.68
Rollover Cohort: SD-809 ERChange From Baseline in Heart Rate at Week 171Change at Week 17125.0 beats per minute
Switch Cohort: SD-809 ERChange From Baseline in Heart Rate at Week 171Baseline68.1 beats per minuteStandard Deviation 12.56
Secondary

Change From Baseline in Hospital Anxiety and Depression Scale (HADS) Anxiety Subscale Score at Week 171

HADS is a self-administered instrument reliable for detecting states of depression and anxiety It includes 2 subscales: Hospital Anxiety and Depression Scale - anxiety (HADS-A) assesses state of generalized anxiety (anxious mood, restlessness, anxious thoughts, panic attacks); Hospital Anxiety and Depression Scale - depression (HADS-D) assesses state of lost interest and diminished pleasure response (lowering of hedonic tone). Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score ranged from 0 to 21 for each subscale; where higher score indicated greater severity of anxiety and depression symptoms.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Anxiety Subscale Score at Week 171Baseline2.7 units on a scaleStandard Deviation 2.99
Rollover Cohort: SD-809 ERChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Anxiety Subscale Score at Week 171Change at Week 1711.3 units on a scaleStandard Deviation 2.63
Switch Cohort: SD-809 ERChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Anxiety Subscale Score at Week 171Baseline4.3 units on a scaleStandard Deviation 3.45
Switch Cohort: SD-809 ERChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Anxiety Subscale Score at Week 171Change at Week 171-2.5 units on a scaleStandard Deviation 2.12
Secondary

Change From Baseline in Hospital Anxiety and Depression Scale (HADS) Depression Subscale Score at Week 171

HADS is a self-administered instrument reliable for detecting states of depression and anxiety It includes 2 subscales: Hospital Anxiety and Depression Scale - anxiety (HADS-A) assesses state of generalized anxiety (anxious mood, restlessness, anxious thoughts, panic attacks); Hospital Anxiety and Depression Scale - depression (HADS-D) assesses state of lost interest and diminished pleasure response (lowering of hedonic tone). Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score ranged from 0 to 21 for each subscale; where higher score indicated greater severity of anxiety and depression symptoms.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Depression Subscale Score at Week 171Baseline2.0 units on a scaleStandard Deviation 2.47
Rollover Cohort: SD-809 ERChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Depression Subscale Score at Week 171Change at Week 1712.4 units on a scaleStandard Deviation 5.26
Switch Cohort: SD-809 ERChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Depression Subscale Score at Week 171Baseline3.4 units on a scaleStandard Deviation 2.54
Switch Cohort: SD-809 ERChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Depression Subscale Score at Week 171Change at Week 1712.0 units on a scaleStandard Deviation 4.24
Secondary

Change From Baseline in Montreal Cognitive Assessment (MoCA) Total Score at Week 171

MoCA is a validated rapid screening instrument for assessing mild cognitive dysfunction. It assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation by using 30 questions test. Time to administer the MoCA© is approximately 10 minutes. The total possible score ranges from 0 (worst) to 30 (best) points; where higher scores indicate better cognitive function. A score of 26 or above is considered normal and a score below 26 is considered as recognitive dysfunction.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Montreal Cognitive Assessment (MoCA) Total Score at Week 171Baseline23.9 units on a scaleStandard Deviation 4.35
Rollover Cohort: SD-809 ERChange From Baseline in Montreal Cognitive Assessment (MoCA) Total Score at Week 171Change at Week 171-3.1 units on a scaleStandard Deviation 4.81
Switch Cohort: SD-809 ERChange From Baseline in Montreal Cognitive Assessment (MoCA) Total Score at Week 171Baseline21.9 units on a scaleStandard Deviation 3.86
Switch Cohort: SD-809 ERChange From Baseline in Montreal Cognitive Assessment (MoCA) Total Score at Week 171Change at Week 1714.5 units on a scaleStandard Deviation 3.54
Secondary

Change From Baseline in Respiration Rate at Week 171

Observed value at baseline and observed value at Week 171 were used to calculate the change from baseline value at Week 171.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number of participants analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Respiration Rate at Week 171Baseline16.4 breaths/minuteStandard Deviation 2.57
Rollover Cohort: SD-809 ERChange From Baseline in Respiration Rate at Week 171Change at Week 171-1.3 breaths/minuteStandard Deviation 2.06
Switch Cohort: SD-809 ERChange From Baseline in Respiration Rate at Week 171Baseline17.5 breaths/minuteStandard Deviation 2.58
Switch Cohort: SD-809 ERChange From Baseline in Respiration Rate at Week 171Change at Week 171-3.5 breaths/minuteStandard Deviation 3.54
Secondary

Change From Baseline in UHDRS Cognitive Assessment Score at Week 171

Components of UHDRS assess motor function,cognition,behaviour,functional abilities,independence scale, total functional capacities. Cognitive assessment component:verbal fluency(VF) score (memory,attention)(requiring participant to generate as many words as possible beginning with a specific letter\[F,A,S\]in 60 seconds \[sec\]. Score\[no range\]:total number of correct words for 3 letters), symbol digit modalities test(SDMT) score(psychomotor speed,attention)(participant is required to pair digits to assigned symbols using a reference key. Score\[0 {worst}-120 {best}\]:total number of correct written responses in 90 sec), & Stroop interference(SI) score (selective attention,executive function)(includes 3 conditions:naming colour blocks\[blue, red or green\]; reading colour words printed in black ink; naming ink colour of incongruous colour words. For each condition score(no range)is number of correct responses produced in 45 sec). In these tests, higher scores reflect better cognitive ability.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure for specified categories.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Cognitive Assessment Score at Week 171VF Score: Baseline25.1 units on a scaleStandard Deviation 11
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Cognitive Assessment Score at Week 171VF Score: Change at Week 171-10.9 units on a scaleStandard Deviation 10.12
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Cognitive Assessment Score at Week 171SDMT: Baseline24.4 units on a scaleStandard Deviation 8.91
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Cognitive Assessment Score at Week 171SDMT: Change at Week 171-9.6 units on a scaleStandard Deviation 7.04
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Cognitive Assessment Score at Week 171SI Score: Baseline3.2 units on a scaleStandard Deviation 10.87
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Cognitive Assessment Score at Week 171SI Score: Change at Week 171-2.4 units on a scaleStandard Deviation 7.42
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Cognitive Assessment Score at Week 171SI Score: Baseline-0.5 units on a scaleStandard Deviation 6.38
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Cognitive Assessment Score at Week 171VF Score: Baseline21.5 units on a scaleStandard Deviation 10.79
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Cognitive Assessment Score at Week 171SDMT: Change at Week 1710.0 units on a scaleStandard Deviation 7.07
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Cognitive Assessment Score at Week 171VF Score: Change at Week 1714.0 units on a scaleStandard Deviation 5.66
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Cognitive Assessment Score at Week 171SI Score: Change at Week 1716.5 units on a scaleStandard Deviation 4.27
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Cognitive Assessment Score at Week 171SDMT: Baseline22.7 units on a scaleStandard Deviation 17.38
Secondary

Change From Baseline in UHDRS Functional Assessment Score at Week 28

The UHDRS is a research tool developed by HD Study Group to provide a uniform assessment of the clinical features and course of HD. The components of the full UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities. Functional assessment included 25 questions with possible answers 'yes' or 'no'. Total score ranges from 0 (worst) to 25 (best). Higher scores indicate better functional ability.

Time frame: Baseline, Week 28

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Functional Assessment Score at Week 28Baseline21.4 units on a scaleStandard Deviation 3
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Functional Assessment Score at Week 28Change at Week 28-1.6 units on a scaleStandard Deviation 2.76
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Functional Assessment Score at Week 28Baseline18.2 units on a scaleStandard Deviation 4.94
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Functional Assessment Score at Week 28Change at Week 28-1.6 units on a scaleStandard Deviation 3.62
Secondary

Change From Baseline in UHDRS Independence Scale Score at Week 28

UHDRS: research tool to provide a uniform assessment of clinical features and course of HD. Components of UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities. Independence scale ranges from 10-100, indicating most accurate current level of participant's independence. 10=Tube fed, total bed care; 20=No speech, must be fed; 30=Participant provides minimal assistance in own feeding,bathing,toileting; 40=Chronic care facility needed; limited self-feeding; 50=24-hour supervision appropriate; assistance required for bathing,eating,toileting; 60=Needs minor assistance in dressing,toileting,bathing; 70=Self-care maintained for bathing,limited household duties; unable to manage finances; 80=Pre-disease level of employment changes or ends; cannot perform household chores, may need help with finances; 90=No physical care needed(difficult tasks avoided); 100=No special care needed. Higher scores indicate better independence.

Time frame: Baseline, Week 28

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Independence Scale Score at Week 28Baseline84.0 units on a scaleStandard Deviation 9.48
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Independence Scale Score at Week 28Change at Week 28-4.2 units on a scaleStandard Deviation 9.6
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Independence Scale Score at Week 28Baseline75.5 units on a scaleStandard Deviation 11.59
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Independence Scale Score at Week 28Change at Week 28-1.2 units on a scaleStandard Deviation 8.93
Secondary

Change From Baseline in UHDRS Motor Assessment: Total Maximal Chorea (TMC) Score at Week 171

UHDRS is a research tool developed by HD Study Group to provide a uniform assessment of the clinical features and course of HD. Components of the full UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities. Motor function assessment includes total motor score (TMS) and TMC score. TMC score is determined from Item 12 (maximal chorea) of UHDRS TMS and quantifies chorea based on assessments of the face, bucco-oral-lingual area, trunk, and the 4 extremities. TMC score is a sum of chorea scores in the 7 body regions, ranging from 0 (absent chorea) to 28 (marked/prolonged chorea). Lower TMC scores indicated less chorea.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Motor Assessment: Total Maximal Chorea (TMC) Score at Week 171Baseline12.04 units on a scaleStandard Deviation 4.113
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Motor Assessment: Total Maximal Chorea (TMC) Score at Week 171Change at Week 171-3.71 units on a scaleStandard Deviation 7.544
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Motor Assessment: Total Maximal Chorea (TMC) Score at Week 171Baseline12.46 units on a scaleStandard Deviation 5.221
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Motor Assessment: Total Maximal Chorea (TMC) Score at Week 171Change at Week 1714.75 units on a scaleStandard Deviation 1.061
Secondary

Change From Baseline in UHDRS Motor Assessment: Total Motor Score (TMS) at Week 171

UHDRS is a research tool developed by HD Study Group to provide a uniform assessment of the clinical features and course of HD. Components of the full UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities. Motor function assessment includes TMS and TMC score. The UHDRS TMS assesses all the motor features of HD and includes maximal chorea, maximal dystonia, ocular pursuit, saccade initiation and velocity, dysarthria, tongue protrusion, finger tapping, hand pronation and supination, luria, rigidity, bradykinesia, gait, tandem walking, and retropulsion pull test. Each of these was rated on a scale of 0 (normal motor function) to 4 (severely impaired motor function). TMS score is a sum of individual scores ranging from 0 (normal motor function) to 124 (severely impaired motor function). Lower TMS scores indicate better motor function.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Motor Assessment: Total Motor Score (TMS) at Week 171Baseline34.67 units on a scaleStandard Deviation 16.119
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Motor Assessment: Total Motor Score (TMS) at Week 171Change at Week 17111.29 units on a scaleStandard Deviation 14.762
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Motor Assessment: Total Motor Score (TMS) at Week 171Baseline37.76 units on a scaleStandard Deviation 18.605
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Motor Assessment: Total Motor Score (TMS) at Week 171Change at Week 17118.50 units on a scaleStandard Deviation 3.536
Secondary

Change From Baseline in UHDRS Total Functional Capacity (TFC) Score at Week 132

UHDRS is a research tool developed by HD Study Group to provide a uniform assessment of the clinical features and course of HD. Components of the full UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities (TFC). TFC is a 5-item clinician rating scale typically completed after a brief interview with a participant and/or collateral source. TFC globally assesses occupation, finances, domestic chores, activities of daily living, and level of care, with scores on each item ranging from 0 to either 2 or 3 (e.g., Occupation: 0 = unable, 1 = marginal work only, 2 = reduced capacity for usual job, 3 = normal). The five items are summed to yield a TFC total score, which ranges from 0 (normal function) to 13 (severe dysfunction). Higher scores indicated better functioning.

Time frame: Baseline, Week 132

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Total Functional Capacity (TFC) Score at Week 132Baseline9.6 units on a scaleStandard Deviation 2.17
Rollover Cohort: SD-809 ERChange From Baseline in UHDRS Total Functional Capacity (TFC) Score at Week 132Change at Week 132-3.1 units on a scaleStandard Deviation 2.86
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Total Functional Capacity (TFC) Score at Week 132Baseline8.3 units on a scaleStandard Deviation 2.11
Switch Cohort: SD-809 ERChange From Baseline in UHDRS Total Functional Capacity (TFC) Score at Week 132Change at Week 132-3.1 units on a scaleStandard Deviation 2.71
Secondary

Change From Baseline in Unified Huntington's Disease Rating Scale (UHDRS) Total Behavior Score at Week 171

The UHDRS is a research tool developed by the Huntington Disease (HD) Study Group to provide a uniform assessment of the clinical features and course of HD. The components of the full UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities. The total behavior score is made up of subscores evaluating depressed mood, apathy, low self-esteem/guilt, compulsive behavior, anxiety, irritable behavior, perseverative/obsessive thinking, disruptive/aggressive behavior, suicidal thoughts, delusions, and hallucinations. For each subscore the frequency and severity was assessed separately. Frequency was rated on a scale of 0 (never or almost never) to 4 (very frequently, most of the time). Severity was rated on a scale of 0 (no evidence) to 4 (severe). Total behavior score ranges from 0 (no impairment) to 88 (severe impairment). Higher scores indicated greater behavioral impairments.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Unified Huntington's Disease Rating Scale (UHDRS) Total Behavior Score at Week 171Baseline7.1 units on a scaleStandard Deviation 8.26
Rollover Cohort: SD-809 ERChange From Baseline in Unified Huntington's Disease Rating Scale (UHDRS) Total Behavior Score at Week 171Change at Week 1718.6 units on a scaleStandard Deviation 12.47
Switch Cohort: SD-809 ERChange From Baseline in Unified Huntington's Disease Rating Scale (UHDRS) Total Behavior Score at Week 171Baseline10.9 units on a scaleStandard Deviation 10.66
Switch Cohort: SD-809 ERChange From Baseline in Unified Huntington's Disease Rating Scale (UHDRS) Total Behavior Score at Week 171Change at Week 1714.5 units on a scaleStandard Deviation 2.12
Secondary

Change From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) -Dysarthria Score at Week 171

The UPDRS is a comprehensive instrument used to assess the signs and symptoms of Parkinson's disease and includes patient and clinician-based assessments of motor, cognitive, and behavioral symptoms. The UPDRS-Dysarthria question pertaining to speech/dysarthria was used to monitor study participants for parkinsonism. Participants rated their responses on a scale ranging from 0 to 4, where 0 = normal; 1 = mildly affected, no difficulty being understood; 2 = moderately affected, sometimes asked to repeat statements; 3 = severely affected, frequently asked to repeat statements; 4 = unintelligible most of the time. Higher scores indicated greater impairment.

Time frame: Baseline, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) -Dysarthria Score at Week 171Baseline0.9 units on a scaleStandard Deviation 0.79
Rollover Cohort: SD-809 ERChange From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) -Dysarthria Score at Week 171Change at Week 1710.4 units on a scaleStandard Deviation 0.79
Switch Cohort: SD-809 ERChange From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) -Dysarthria Score at Week 171Baseline1.1 units on a scaleStandard Deviation 0.74
Switch Cohort: SD-809 ERChange From Baseline in Unified Parkinson's Disease Rating Scale (UPDRS) -Dysarthria Score at Week 171Change at Week 1711.5 units on a scaleStandard Deviation 0.71
Secondary

Change From Week 8 in UHDRS Motor Assessment: TMC Score at Week 171

UHDRS is a research tool developed by HD Study Group to provide a uniform assessment of clinical features and course of HD. Components of full UHDRS assess motor function, cognition, behaviour, functional abilities, independence scale and total functional capacities. Motor function assessment includes TMS and TMC score. TMC score is determined from Item 12 (maximal chorea) of UHDRS TMS and quantifies chorea based on assessments of the face, bucco-oral-lingual area, trunk, and the 4 extremities. TMC score is a sum of chorea scores in the 7 body regions, ranging from 0(absent chorea) to 28 (marked/prolonged chorea). Lower TMC scores indicated less chorea. Data was measured and available for total safety population. Data was not available by individual cohorts (rollover cohort and switch cohort) from Week 8 to Week 171, as was done for change from baseline. Therefore, in order to present results data for this outcome measure, the total, combined safety population treatment arm was used.

Time frame: Week 8, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Week 8 in UHDRS Motor Assessment: TMC Score at Week 171Change at Week 1712.4 units on a scaleStandard Deviation 5
Rollover Cohort: SD-809 ERChange From Week 8 in UHDRS Motor Assessment: TMC Score at Week 171Week 88.5 units on a scaleStandard Deviation 4.67
Secondary

Change From Week 8 in UHDRS Motor Assessment: TMS at Week 171

Components of full UHDRS assess motor function,cognition,behaviour,functional abilities,independence scale,total functional capacities. Motor function assessment includes TMS and TMC score. TMS assesses all motor features of HD and includes maximal chorea, maximal dystonia,ocular pursuit,saccade initiation and velocity,dysarthria,tongue protrusion,finger tapping,hand pronation and supination,luria rigidity,bradykinesia,gait,tandem walking,retropulsion pull test. Each of these was rated on a scale of 0(normal motor function) to 4(severely impaired motor function). TMS score is a sum of individual scores ranging from 0(normal motor function) to 124(severely impaired motor function). Lower TMS scores= better motor function. Data was available for total safety population, not by individual cohorts(rollover and switch cohort) from Week 8 to Week 171,as was done for change from baseline. Therefore, in order to present results data,the total,combined safety population treatment arm was used.

Time frame: Week 8, Week 171

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERChange From Week 8 in UHDRS Motor Assessment: TMS at Week 171Week 830.7 units on a scaleStandard Deviation 17.4
Rollover Cohort: SD-809 ERChange From Week 8 in UHDRS Motor Assessment: TMS at Week 171Change at Week 17122.2 units on a scaleStandard Deviation 12.02
Secondary

Duration of Time to Achieve a Stable Dose of SD-809 ER

Duration of time to achieve stable dose of SD-809, defined as the number of days from Day 1 until the first day at which the participant was taking the dose level they were receiving at Week 8.

Time frame: From Day 1 until the first day at which the participant was taking the dose level they were receiving at Week 8 (up to maximum 1284 days)

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Overall number of participants analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Rollover Cohort: SD-809 ERDuration of Time to Achieve a Stable Dose of SD-809 ER47.0 days
Switch Cohort: SD-809 ERDuration of Time to Achieve a Stable Dose of SD-809 ER28.0 days
Secondary

ECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8

ECG parameters included heart rate, PR interval, QRS duration, QT interval and QTcF. PR interval, QRS duration, QT interval and QTcF at Baseline and Week 8 is reported in this outcome measure.

Time frame: Baseline, Week 8

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number of participants analyzed' signifies participants evaluable for this outcome measure for specified categories.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8QRS Duration: Baseline92.8 millisecondsStandard Deviation 14.37
Rollover Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8QRS Duration: Week 891.0 millisecondsStandard Deviation 12.09
Rollover Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8PR Interval: Baseline164.1 millisecondsStandard Deviation 25.03
Rollover Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8PR Interval: Week 8165.2 millisecondsStandard Deviation 23.87
Rollover Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8QT Interval: Baseline399.8 millisecondsStandard Deviation 27.44
Rollover Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8QT Interval: Week 8405.1 millisecondsStandard Deviation 29.1
Rollover Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8QTcF: Baseline413.3 millisecondsStandard Deviation 18.67
Rollover Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8QTcF: Week 8412.7 millisecondsStandard Deviation 20.1
Switch Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8QTcF: Week 8412.8 millisecondsStandard Deviation 18.05
Switch Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8QRS Duration: Baseline88.8 millisecondsStandard Deviation 10.16
Switch Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8QT Interval: Baseline415.6 millisecondsStandard Deviation 37.44
Switch Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8QRS Duration: Week 888.0 millisecondsStandard Deviation 10.97
Switch Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8QTcF: Baseline419.3 millisecondsStandard Deviation 17.89
Switch Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8PR Interval: Baseline159.5 millisecondsStandard Deviation 22.65
Switch Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8QT Interval: Week 8404.5 millisecondsStandard Deviation 35.43
Switch Cohort: SD-809 ERECG Parameter Value (PR Interval, QRS Duration, QT Interval, QTcF) at Baseline and Week 8PR Interval: Week 8155.7 millisecondsStandard Deviation 18.08
Secondary

Electrocardiogram (ECG) Parameter Value (Heart Rate) at Baseline and Week 8

ECG parameters included heart rate, PR interval, QRS duration, QT interval and Fridericia's corrected QT interval (QTcF). Heart rate measured by ECG at Baseline and Week 8 is reported in this outcome measure.

Time frame: Baseline, Week 8

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number of participants analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Rollover Cohort: SD-809 ERElectrocardiogram (ECG) Parameter Value (Heart Rate) at Baseline and Week 8Baseline67.4 beats/minuteStandard Deviation 9.87
Rollover Cohort: SD-809 ERElectrocardiogram (ECG) Parameter Value (Heart Rate) at Baseline and Week 8Week 864.6 beats/minuteStandard Deviation 9.22
Switch Cohort: SD-809 ERElectrocardiogram (ECG) Parameter Value (Heart Rate) at Baseline and Week 8Baseline63.8 beats/minuteStandard Deviation 13.96
Switch Cohort: SD-809 ERElectrocardiogram (ECG) Parameter Value (Heart Rate) at Baseline and Week 8Week 865.8 beats/minuteStandard Deviation 13.5
Secondary

Number of Participants With Clinically Significant Abnormalities in ECG Parameters

ECG parameters included heart rate, PR interval, QRS duration, QT interval and QTcF. Clinical significance was as as per Investigator's discretion.

Time frame: Baseline, Week 8

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Number of participants analyzed' signifies participants evaluable for this outcome measure at specified timepoints.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rollover Cohort: SD-809 ERNumber of Participants With Clinically Significant Abnormalities in ECG ParametersBaseline5 Participants
Rollover Cohort: SD-809 ERNumber of Participants With Clinically Significant Abnormalities in ECG ParametersWeek 82 Participants
Switch Cohort: SD-809 ERNumber of Participants With Clinically Significant Abnormalities in ECG ParametersBaseline0 Participants
Switch Cohort: SD-809 ERNumber of Participants With Clinically Significant Abnormalities in ECG ParametersWeek 80 Participants
Secondary

Number of Participants With Positive Response on the Columbia Suicide Severity Rating Scale (C-SSRS)

C-SSRS is a clinician rated assessment of suicidal behavior and ideation categorized as: Suicidal behavior=a yes response to any of 5 suicidal behavior questions (preparatory acts or behavior, aborted attempt, interrupted attempt, non-fatal suicide attempt, and completed suicide); Suicidal ideation=a yes response to any one of 5 suicidal ideation questions which includes wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with any methods (not plan) without intent to act, active suicidal ideation with some intent to act without specific plan, active suicidal ideation with specific plan and intent. Number of participants with positive response (response of yes) to suicidal behavior, ideation or any non-suicidal self-injurious behavior was reported.

Time frame: Baseline up to 1-week follow-up visit (up to approximately 3 years 9 months)

Population: Safety population included all participants who received at least 1 dose of study drug. Here, 'Overall number of participants analyzed' signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rollover Cohort: SD-809 ERNumber of Participants With Positive Response on the Columbia Suicide Severity Rating Scale (C-SSRS)Suicidal Behavior3 Participants
Rollover Cohort: SD-809 ERNumber of Participants With Positive Response on the Columbia Suicide Severity Rating Scale (C-SSRS)Suicidal Ideation11 Participants
Rollover Cohort: SD-809 ERNumber of Participants With Positive Response on the Columbia Suicide Severity Rating Scale (C-SSRS)Self-injurious behavior without suicidal intent1 Participants
Switch Cohort: SD-809 ERNumber of Participants With Positive Response on the Columbia Suicide Severity Rating Scale (C-SSRS)Suicidal Ideation4 Participants
Switch Cohort: SD-809 ERNumber of Participants With Positive Response on the Columbia Suicide Severity Rating Scale (C-SSRS)Suicidal Behavior1 Participants
Switch Cohort: SD-809 ERNumber of Participants With Positive Response on the Columbia Suicide Severity Rating Scale (C-SSRS)Self-injurious behavior without suicidal intent0 Participants

Source: ClinicalTrials.gov · Data processed: Mar 8, 2026