For participation in this epidemiological(branch of medicine which deals with the incidence, distribution and control of diseases) study, a single-day visit at the study site is required. Participants will be recruited from HD clinics, and they will be asked to answer questions regarding their demographics, including sex, age, race and ethnicity, and their medical and medication history. At the end of the visit, a blood sample will be drawn to allow testing for a single nucleotide polymorphisms (SNPs) on the wild-type Huntington (wtHTT) and mutant Huntington (mHTT) alleles.
SNPs pronounced ‘snips’, are a single-letter spelling difference in a gene. They are common and most don’t change the function of the gene.
We have talked of SNPs before. WAVE Life Sciences was the first company to use this technique in HD trials: Precision 1 and 2 and Select.
a single-letter spelling difference in a gene. SNPs, pronounced ‘snips’, are common and most don’t change the function of the gene.
dictionary:
at risk
You do not know if you carry the genetic mutation for HD gene
dictionary:
TFC-total functional capacity
A standardized rating scale for function in HD, used to assess capacity to work, handle finances, perform domestic chores and self-care tasks. Scores range from 0 to 13, with higher scores indicating better functional capacity.
dictionary:
Double-blinded
means that neither the participant nor the clinical trial doctor can choose or know the group the participant is in until the trial is over. This approach helps to prevent bias.
dictionary:
Open label
A trial in which the patient and doctor know what drug is being used. Open label trials are susceptible to bias through placebo effects.
dictionary:
Gene therapy
a technique that aims to treat or prevent diseases by modifying a person’s genes. It involves introducing, removing, or changing genetic material (DNA or RNA) within a patient’s cells.
dictionary:
UHDRS- Unified Huntington Disease Rating Scale
A standardized neurological examination that aims to provide a uniform assessment of the clinical features of HD
dictionary:
CAG repeat
The stretch of DNA at the beginning of the HD gene, which contains the sequence CAG repeated many times, and is abnormally long in people who will develop HD
dictionary:
Wild-type
the opposite of ‘mutant’. Wild-type huntingtin, for example, is the ‘normal’, ‘healthy’ protein
dictionary:
Tolerabilty
How well a person can handle a treatment without having serious or uncomfortable side effects.
dictionary:
Striatum
Part of the brain that coordinates multiple aspects of cognition, including both motor and action planning, decision-making, motivation, reinforcement, and reward system.
dictionary:
Randomized allocation
A type of allocation strategy in which participants are assigned to the arms of a clinical trial by chance.
dictionary:
Radioligand
a radioactive substance that binds to a specific target in the body, allowing visualization of that target’s distribution and activity
dictionary:
Protein
Protein builds, maintains, and replaces the tissues in your body. The building blocks of life.
dictionary:
Premanifest / Prodromal
Prior to onset or diagnosis of movement symptoms.
dictionary:
Placebo
A placebo is a dummy medicine containing no active ingredients. The placebo effect is a psychological effect that causes people to feel better even if they’re taking a pill that doesn’t work.
dictionary:
PK - Pharmacokinetics
The movement of drugs through the body
dictionary:
PD - Pharmacodynamics
The body’s biological response to drugs
dictionary:
PET scan
Positron emission tomography which produces detailed 3-dimensional images of the inside of the body.
dictionary:
Neuron
Brain cells that store and transmit information
dictionary:
MRI
Magentic resonance imaging: A technique using powerful magnetic fields to produce detailed images and visualizes the structure of organs, tissues, and bones
dictionary:
mHTT
Mutant huntingtin protein. The protein produced by the faulty HD gene.
dictionary:
Manifest
after HD diagnosis, or when symptoms are already showing
dictionary:
Longitudinal study
A study where each participant is looked at several times over a time period – unlike a cross-sectional study, where each participant is looked at only once
dictionary:
HTT
one abbreviation for the gene that causes Huntington’s disease. The same gene is also called HD and IT-15
dictionary:
fMRI
functional MRI:As with MRI, a technique using powerful magnetic fields but focusing on brain function by measuring and mapping changes in blood flow, revealing which areas of the brain are active during specific tasks or cognitive processes
dictionary:
CSF - cerebrospinal fluid
A clear fluid produced by the brain, which surrounds and supports the brain and spinal cord.
dictionary:
Efficacy
A measure of whether a treatment works or not
dictionary:
ASO(Antisense oligonucleotides)
A type of gene silencing treatment in which specially designed DNA molecules are used to switch off a gene
dictionary:
Biomarker
a test of any kind – including blood tests, thinking tests and brain scans – that can measure or predict the progression of a disease like HD. Biomarkers may make clinical trials of new drugs quicker and more reliable
dictionary:
BDNF
Brain-derived neurotrophic factor: a growth factor that may be able to protect neurons in HD.
dictionary:
Allele
one of the two copies of a gene
dictionary:
Plasma
Liquid component of the blood.
dictionary:
Gene
The basic unit of heredity passed from parent to child. Genes are made up of sequences of DNA and are arranged, one after another, at specific locations on chromosomes in the nucleus of cells.
dictionary:
Phase
Clinical trial phases are different stages of research that assess the safety and effectiveness of a new medical treatment or intervention in humans.
Each phase has a specific goal and involves a different number of participants. Generally, there are 4 phases (I-IV), with Phase I focusing on safety and dosage, Phase II on efficacy and side effects, Phase III on comparing the new treatment with standard treatments, and Phase IV on long-term safety monitoring.